The General Administration of Customs announced today (6th) that in the first half of this year, the national customs suspended the export to China of 144 food enterprises that suffered from the COVID-19 outbreak, and at the same time, returned or destroyed the risky imported food to prevent unqualified food from entering the country.

　　According to customs statistics, this year 1-mdash; In June, the national customs conducted a total of 1,098,700 samples of imported cold-chain food, animal and plant products for COVID-19 virus detection; A total of 27,114,400 imported cold-chain foods were supervised for preventive disinfection at ports.

　　Kong Xiaobang, Director of General Department of Import and Export Food Safety Bureau of General Administration of Customs:Since the outbreak of the epidemic, as of July 1st this year, we have randomly selected 296 overseas food enterprises in 60 countries and regions through remote video, and suspended the export of 144 overseas food enterprises with COVID-19 outbreak employees to China, effectively ensuring the safety of imported food in China.

　　At the same time, the customs strictly returns or destroys the imported food with risks to prevent unqualified food from entering the country. 1-mdash this year; In June, the national customs detected 1,070 batches of food that were not allowed to enter the country due to unqualified safety and hygiene items in port supervision, and all of them were returned or destroyed.

　　In addition, the customs has also enhanced the understanding of the safety of imported and exported food in various ways. Today, in addition to Hangzhou, other customs across the country have also launched the "National Food Safety Publicity Week" in 2021, with a variety of publicity, display and Q&A activities to publicize and interpret imported food safety and port food hygiene and safety laws and regulations to import and export enterprises and consumers, and strictly supervise imported food.

　　Zang Juan, Inspection Section of Qianjiang Customs Office in Yuhang, Hangzhou Customs:Consumers can first check whether the food is labeled or labeled in Chinese, and whether the product name, country of origin (region), ingredient list, production date and other information are marked on the label.

　　If there is no such Chinese label on imported food sold in the market, it can be regarded as an informal channel. Secondly, you can also ask the sellers for the Inspection and Quarantine Certificate of Entry Goods issued by the Customs or log on to the website of the General Administration of Customs to check whether the imported food meets the access requirements, so as to ensure that the imported food you buy is imported in compliance.

On April 16th, BYD personalized brand equation Leopard Technology Tide SUV Titanium 3 was officially launched, with a total of five versions, with a surprise price of 133,800 yuan, and a financial discount policy of up to 5,500 yuan and five super-value car purchase rights.

"One abnormal titanium gives birth to everything", Equation Leopard Titanium 3 creates the trend aesthetics with science and technology. With its unique "one machine, three cabins" trend configuration, "E+2C" intelligent three-piece suite and "iCT" safety three-piece suite, it has the super-value value of surpassing technology, space and configuration, and at the same time, it further realizes the "scientific and technological trend products, which are shared by the whole people". Titanium 3 will work with all users to open a new chapter in urban travel and create a new era of high-tech products.

Titanium 3 configuration is full, technology is full, value is full, sincerity is full

Inspired by "Star Wars Aesthetics", Titanium 3 has created a new category of "science and technology fad" and led a brand-new "science and technology fad" with its unique technology of "one machine and three cabins". "One Machine" refers to the intelligent vehicle-mounted unmanned aerial vehicle system of Lingyuan jointly developed by BYD and DJI, which can easily achieve a good shot with one button.

"No.3 cabin" refers to the electric front cabin, ecological cockpit and convenient rear cabin. The electric front cabin is equipped with the only electric opening and closing function at the same level and a large volume of 151L; Eco-cockpit includes multifunctional smart island, ergonomic chair, custom buttons, 15.6-inch central control screen, dual-temperature air conditioner, cold and warm refrigerator, Divale audio, 6kW high-power external discharge, one-button down of the rear seat, and official customized air mattress, which can easily lie flat and change into a big bed room every second; 28L’s convenient rear schoolbag is stylish in appearance and dry in content, which can meet the daily personalized storage needs of more yuan and more flexibility.

The "iCT" safety three-piece set makes the safety technology configuration full, including iTAC intelligent torque control system, extremely fast vehicle response and one-button drift mode; CTB vehicle safety structure, which is resistant to extrusion, folding and collision, makes every trip feel at ease; TSC high-speed tire burst stability control system, assisted by 140km/h high-speed tire burst control, allows users not to panic when they are in danger. Let every time you drive actively and passively, it is safe, and the safety guard will accompany you all the time.

The "E+2C" intelligent three-piece set makes the intelligent technology configuration full, including the intelligent EVO+ platform, which has a product performance of 1 super and 3 strong, and its unique iATS intelligent all-terrain recognition system can automatically identify road conditions such as grass/sand/mud/snow, and automatically switch driving modes, so that users’ travel scenes can be opened infinitely; High efficiency, shortening the charging time of users at low temperature by 40% and the charging time of 30-80%SOC at room temperature by 18min；; Strong handling, titanium 3 is equipped with a million-class suspension, and the front two-ball joint McPherson rear five-bar linkage brings users the ultimate driving feeling; Strong performance, 20000 rpm motor, 100 km acceleration of 4.9 s; Eye of God C high-order intelligent driving assistance system can easily realize high-speed navigation assistance, intelligent parking and active obstacle avoidance; Active preview+Yunqi -C intelligent damping body control system can realize intelligent preview of road conditions and intelligent damping control, and bring users a driving experience with light sensitive cornering, smooth handling, stable body posture and strong road adaptability. Let the platform drive intelligently, and intelligent technology is always online.

Titanium 3 surprise listing, rights and interests in place, 0 yuan can also buy.

Titanium 3 successfully set off a "tide wind" and brought three surprises. First of all, it has brought a very competitive price of 133,800 Pro version of 501KM rear-drive intelligent driving, 139,800 Max version of 501KM rear-drive intelligent driving, 153,800 Max version of 501KM four-wheel drive intelligent driving, 163,800 Ultra version of 501KM four-wheel drive intelligent driving, and 193,800 UAV version of 501KM four-wheel drive intelligent driving, which will be delivered as soon as it goes on the market, with excellent price and the whole people can close their eyes.

Secondly, Titanium 3 also brought a financial discount policy of up to 5,500 yuan, and provided multiple financial schemes of "0 down payment, 0 interest and 0 monthly payment" for selection. "0 down payment", up to 5 years long loan; "0 interest", starting from 50% down payment, 24 installments with 0 interest; "Payment in 0 months", with 50% down payment and 50% final payment, and payment in 0 months at least for one year.

Finally, it sent out four great car purchase rights! Replacement subsidy of up to 6000 yuan; 7kW charging piles are delivered free of charge, and the first owner enjoys the rights and interests of charging pile basic installation service within two years from the date of self-delivery; Smart internet services, including lifelong OTA upgrade, online navigation, free car traffic for 2 years and 5G every month, etc. After-sales service, the whole vehicle repair of non-operating vehicles for 6 years or 150 thousand kilometers, the lifetime warranty of the "three power" system, etc.

Titanium 3 has launched two major reform plans, which are often used for renovation.

Titanium 3 breaks the traditional doll model of the car and provides the world’s first front face modular dressing system, so that titanium 3 truly has a variety of titanium and Vientiane forms. At the release site, the "Titanium 3 Face Change Plan" was officially released, and a variety of front face plans will be put on the official store of Equation Leopard one after another. You can make an appointment with one click, and the national Equation Leopard store can make a face change.

Titanium 3 has brought 12 joint tide reform schemes in conjunction with a number of tide reform brands. This time, the SUPER 3 version of the tide reform plan will be added, and it will also be put on the official mall simultaneously. In addition, Equation Leopard announced the launch of the "Titanium 3 Tide Reform Co-creation Competition" on April 23, and Equation Leopard official will invest a million bonus pools to help users realize their dreams of tide reform! This competition has set up a number of tracks, such as national track and professional track, so you can pay attention to the official information of the follow-up equation leopard.

High-tech products are shared by the whole people. Equation Leopard Titanium 3 is officially listed.

I. Basic information of the project

Project number: SJZGK20250234

Project Name: Dog Management Security Service of Shijiazhuang Public Security Bureau

Budget amount: 857200

Maximum price limit (if any): 857200

Procurement demand: This project mainly includes: the dog certification service center of the public security police detachment of Shijiazhuang Public Security Bureau and the dog detention center need to hire 18 security guards to provide security services, assist the police to investigate and deal with large dogs and fierce dogs that are illegally kept, take in stray dogs, carry out civilized dog-raising publicity activities, and conduct street inspections on uncivilized dog-raising behaviors.

Duration of contract performance: 12 months.

This project does not accept consortium bidding.

Second, the applicant’s qualification requirements:

1. Meet the provisions of Article 22 of the Government Procurement Law of People’s Republic of China (PRC);

2. Qualification requirements for implementing the government procurement policy: 1. This project is specially designed for small and medium-sized enterprises to purchase; 2 Other qualification requirements for implementing government procurement policies (if any): Inquire through channels such as Credit China (https://www.creditchina.gov.cn), China Government Procurement Network (http://www.ccgp.gov.cn) and China Executive Information Open Network (http://zxgk.court.gov.cn). Not included in the list of parties involved in major tax violation cases, the list of records of serious illegal and untrustworthy behaviors of government procurement, and the list of untrustworthy executors published by the Supreme People’s Court (subject to the results of the purchaser’s inquiry after the bidding deadline).

3. Specific qualification requirements for this project: None.

Third, obtain the tender documents

Time: from April 29th, 2025 to May 8th, 2025, from 00: 00 am to 12: 00 am and from 12: 00 pm to 23:59:59 pm (Beijing time, except legal holidays).

Location: Shijiazhuang public resources trading platform download, website: http://110.249.147.67/G2/, bidders should pay attention to whether the project has any correction announcement in time.

Mode: Other

Price: 0

IV. Deadline for submission of bid documents, time and place of bid opening

09: 30 May 22, 2025 (Beijing time)

Venue: Shijiazhuang Public Resource Trading Platform, website: http://110.249.147.67/G2/.

V. Announcement Period

5 working days from the date of this announcement.

VI. Other Supplementary Matters

According to the "Hebei Provincial Department of Finance Hebei Provincial Government Service Management Office on the issuance of<政府采购公开招标项目全面实行“双盲”评审实施方案>According to the relevant requirements of the Notice, this project adopts a "double-blind" review. The supplier shall make the commercial bid and the technical bid separately according to the requirements of the tender documents, and the bid evaluation committee shall review the commercial bid and the technical bid according to the requirements. Obtain bidding (procurement) documents: log on to Shijiazhuang Public Resources Trading Platform (http://110.249.147.67/G2/) and download the bidding (procurement) documents (*.HBZ). 1. Before obtaining the documents, the supplier shall register (telephone number 0311-89668589) according to the "Government Procurement Supplier Operation Manual 20210701", and consult the CA certificate business: the national public resource trading platform (Hebei Province) shall handle the CA certificate business in http://publicservice.hebpr.gov.cn:8181/. Download Path: Business Guide of Shijiazhuang Public Resource Trading Network (http://110.249.147.67/G2/)-Download Center 2. After obtaining the documents, the supplier should download the [Government Procurement] (Bidding) Document Preparation Tool 7.8.2005.2330, the "CA Certificate Driver Installation Program Download Instructions" and the "Government Procurement Response Document Preparation Tool Operation Instructions" before installing these tools. Download path: Shijiazhuang public resource trading network(http://110.249.147.67/G2/) "Business Guide"-"Download Center" Technical Tel: 0311-89868327 3. When opening bids, the supplier shall decrypt the electronic bidding (response) documents with the CA digital certificate. 4. This project is subject to "double blind" evaluation, that is, the evaluation experts are randomly selected from the provincial expert database to realize "blind selection" of the evaluation experts; The commercial bid and technical bid of bidding (response) documents are made separately, and the evaluation committee adopts the open bid evaluation and the hidden bid evaluation for the commercial bid as required, so as to realize "blind evaluation" in the evaluation process. Due to the market subject’s own reasons, the consequences caused by the failure to obtain and submit documents within the effective time shall be borne by the market subject itself.

7. For inquiries about this tender, please contact in the following ways.

1. Purchaser information

Name: Shijiazhuang Public Security Bureau

Address: No.66 Yuannan Road, Shijiazhuang

Contact information: 0311-89667000

2. Information of purchasing agency (if any)

Name: Shijiazhuang Public Resource Trading Center

Address: Xingshi Square, No.87 Shengli South Street, qiaoxi district, Shijiazhuang.

Contact: 0311-89665583

3. Contact information of the project

Project Contact: Gu Yi

Tel: 0311-89667000

VIII. Annexes

CCTV News:A few days ago, Ni Hong, Minister of Housing and Urban-Rural Development, said that a series of policies and measures introduced this year, such as denying housing loans, reducing down payment ratio and interest rate, continuing to implement personal income tax policies to support residents to buy houses, and reducing intermediary fees for second-hand housing sales, have played a positive role in stabilizing the real estate market.

For the real estate market next year, the Ministry of Housing and Urban-Rural Development said that it will continue to optimize real estate policies, support cities to adjust real estate policies according to local conditions, and at the same time further increase support for the first and improved housing policies to benefit the people. In addition, we will continue to do a good job in ensuring the delivery of buildings, people’s livelihood and stability.

Shanghai: the new real estate policy promotes the active first-hand housing market.

Last week, Shanghai introduced a new real estate policy, adjusting ordinary housing standards and optimizing differentiated housing credit policies. A week after the introduction of the new policy, the reporter visited the market and found that the actual exhibition and transaction volume of some new housing projects have increased to some extent compared with before the introduction of the policy.

This new house in Songjiang District was officially opened shortly before the introduction of the New Deal in Shanghai. From the afternoon of this week’s working day to the evening, the reporter saw that buyers would visit from time to time. According to this new policy, Shanghai has implemented a differentiated policy in the Lingang New Area of the Free Trade Zone and six administrative regions of Jiading, Qingpu, Songjiang, Fengxian, Baoshan and Jinshan, and the down payment for the second home has been reduced to a minimum of 40%.

According to industry insiders, since Shanghai began to implement the policy of "recognizing houses but not loans" in September, the market has generally stabilized and picked up. After this policy optimization, it is expected to effectively enhance the activity of the real estate market and improve the level of second-hand houses and new houses.

Beijing: In the first week of the New Deal in the property market, some demand for home purchases began to be released.

Beijing also introduced a new policy of real estate adjustment and optimization a week ago. These two days, the reporter visited and found that although the second-hand housing market is still relatively strong at present, there have been some changes in the new housing market affected by policies.

On December 14th, Beijing issued a new property market policy, which lowered the minimum down payment ratio of the first set of housing personal housing loans to 30%, and the minimum down payment ratio of the second set of housing personal housing loans to 50% in the six districts of the city and 40% in the six districts of the non-city. At the same time, the mortgage interest rate, loan life and general housing standards have been optimized and adjusted. After the release of the New Deal, many people who are interested in buying houses have chosen to come out to see the house.

The reporter saw in this sales office in Fangshan District, Beijing that although it was the morning of a working day, there were still some people who came to see the house. After a round of inquiries, the reporter found that most of them are customers who want to improve their sexual needs and just-needed groups who want to buy the first suite.

According to the sales staff of the sales office, the new policy has lowered the threshold for buying houses, broadened everyone’s choice space, and at the same time reduced the repayment burden of loans, which has stimulated the activity of buyers. Now, the number of consultations, exhibitions and sales of stores has improved to a certain extent.

However, the reporter observed that not all new housing projects are like this, and there are not a few properties with less passenger flow. Insiders told reporters that it will take more time for the market to improve because the New Deal was promulgated only one week ago.

This article comes from WeChat WeChat official account:Gu San Gu Si (ID: GH _ A68D56C34119), Author: Gu Yuan, the first picture from: vision china.

There are not so many things in this world, but there are always some people who create various theories to create various problems. Medical impossible trinity is such a stupid theory.

There is a Mundell impossible trinity in financial theory. It is said that the financial system can only choose two of the three: free capital flow, exchange rate stability and monetary policy independence, and it is impossible to have all three, otherwise it will lead to financial collapse. In this financial theory, there is actually a premise, and that is legal tender.

Someone made up another theory with this theory, which is called impossible trinity’s theory of medical system. Cheap, efficient and good service. You can’t have both, otherwise it will lead to collapse.

At first glance, does this theory make sense? It seems to make sense.

Let me discuss the common views of this theory first. For example, the United States has chosen high efficiency and good service, which leads to extremely high medical costs. It’s so expensive that ordinary families can go bankrupt by getting a rabies vaccine and calling an ambulance. The United States is efficient and has good service, but it is expensive.

Many people praise American medical care and find it particularly humanized. Doctors and nurses are patient and smiling because they choose high efficiency and good service. Since efficiency and good service are satisfied in impossible trinity, the cost can never be cheap.

American nuclear magnetic resonance imaging costs $1,100, appendicitis surgery costs about $15,000, and hospitalization costs $5,000 a day. A federal survey in 2012 found that the average cost per ambulance ride was $224.(about 1485 yuan)To $2204(about 14610 RMB)Between

For another example, Commonwealth countries and Europe choose cheap and good service, and as a result, it is difficult to see a doctor and queue up to death. Make an appointment with a dentist for one month, an ophthalmologist for seven months, and a B-ultrasound for three months. As long as it’s not a dying disease that needs emergency treatment, you have to queue up slowly. In the case of limited medical resources, low price and good service are required, and the result is extremely low efficiency.

Similarly, the medical systems in impossible trinity, the Commonwealth and Europe chose cheap and good service. The reason is simple. Good service requires doctors to listen patiently to every patient and give them time to talk. It takes at least half an hour to see a patient like this. Every doctor can see 16 patients in an eight-hour working day.

The limited number of doctors leads to the limited number of patients you can see every day, so you need to queue up in advance to make an appointment. As long as it’s not a dying disease, it’s not unusual to wait for three to five months before it’s your turn. The Canadian documentary "You are Dead" is about the problem of long queues in the medical systems of Commonwealth countries.

Choice determines efficiency, which is the case in all Commonwealth and European countries. The inefficiency of medical system is everywhere. In order to prevent patients from waiting too long, there is even a law that 90% of patients should be treated by a specialist within 13 weeks, and the rest must be treated within 26 weeks. The waiting time for surgery should not exceed 18 months.

China, with its large population and tight per capita expenses, chose cheap and efficient.The price is high-intensity work of doctors, high turnover of beds and high turnover of outpatient clinics, so that everyone can see a doctor.

Because of the large population and limited medical resources, and I hope everyone can see a doctor, we can only choose cheap and efficient. Choosing cheap and efficient means that it is normal to see a person for three minutes and ask two sentences to diagnose the disease.

If you register in the public top three, you shouldn’t queue up. Doctors need to serve smiles and have patience to listen. Is it possible? How many patients are there in a big hospital a day? Really want to engage in patient service, every patient has to talk about his illness for half an hour, and the efficiency is simply not allowed.

It is also the best hospital in China and America. The Mayo Clinic has 15 times as many medical staff as Concord, but only half the number of patients. 15 times the number of medical staff and 1/2 of the number of patients, which means that the efficiency of Concord is 30 times that of Mayo Clinic.

The outpatient fee of Mayo Clinic started at $500, but after the outpatient fee increased in Beijing, it was 50 Qian Qi.

Do you think Concord is tired enough? In fact, compared with Beijing Children’s Hospital, Concord is already relaxed. The average daily attendance of Beijing Children’s Hospital in winter is 12,000, with a peak of 16,000. In other words, 360,000 people will be treated every month in winter.

But now the first-and second-level hospitals and community clinics can basically be on call. Except for some top hospitals, most tertiary hospitals can also go to the hospital on the same day, see a doctor on the same day, and get the results within the same day or a few days. If this is all difficult to see a doctor, it is hard to imagine that Canada, where the average waiting time for emergency treatment is six to eight hours, and Britain and the United States, where appointments are made for several months.

It is difficult to see a doctor in people’s mouth now. In fact, it is difficult to find the top three famous experts in the region.It is actually not difficult to find the top three directors in the region to see a doctor, because many hospitals are not limited to the number, and they will finish reading it on the same day. Patients are crowded into the top three, which also causes a structural shortage of hospital bed resources. Judging from the number of inpatients undertaken by hospitals at all levels, the trend is very obvious. Low-level hospitals are getting empty, but high-level hospitals are getting crowded.

The beds in the top three are overcrowded. Let’s take a look at the first-and second-level hospitals and community hospitals below. Except for the old people who prescribe drugs for chronic hypertension for a long time, they are basically empty. Why? Because patients simply don’t believe that they can cure the disease.

Ok, is there a problem with the above discussion? Is it the actual situation?The reality discussed above is true, but the theory is wrong.What’s wrong with that?

The first big mistake: the definition of inefficiency, free and high quality in the Commonwealth system is wrong

If you don’t talk about other countries, say Britain. In Britain, the annual per capita absolute medical cost is 3327 pounds.($4,356). However, in recent years, the average life expectancy in Britain has remained basically unchanged, while in other countries, it has improved significantly. For example, in Singapore, the average life expectancy is 82.7 years, and medical expenditure only accounts for 4.3% of GDP.

Health care in the UK has increased from 21 in 2014.(A total of 56 countries participated in the ranking)It fell to 35 places in 2015, down 14 places, and currently lags behind Chile, Algeria and the Czech Republic. This change means that it has fallen to the bottom half of the Bloomberg list, and it is now behind Mexico, which is equivalent to Slovakia and Peru. The NHS is notorious for frequent accidents, insufficient supply and low efficiency.

It can be seen that the medical system of the Commonwealth system is expensive, poor in quality and inefficient. Medical impossible trinity theory,Mistreating welfare medical care as free medical care and giving him a cheap label is actually just medical care implemented by taxation.The cost is very high,Per capita expenditure is close to half that of the United States.

Secondly, medical impossible trinity theory.Completely ignoring people’s needs, and actually treating queuing for medical treatment as a good service.It takes months to see a doctor. Is this called service? Is there only one dimension of good attitude as the standard of medical service quality?

I won’t see a doctor. I’m not a doctor. If you are sick, you can spend 10 thousand yuan to find me. I will accompany you with a smile all day. Is it called service? Helping patients to solve their pain is the first dimension of medical service quality, and even seeing a doctor in time can’t be done. How can this be called good service?

The second big mistake: the definition of the most special American medical care in the world is wrong.

Impossible trinity Theory defines the United States as expensive, good in service and efficient.

Consumers are pursuing cost performance when they consume any commodity.

If you spend 30 yuan to press a foot in a street foot bath shop, you won’t pursue a luxurious hall and beautiful welcome. As long as you press it comfortably, you will say that the service is really good because of its high cost performance. On the contrary, you spend 500 yuan to press a foot in a high-end club. If a stingy man brings you tea and water, you will turn around and leave, because you will calculate your input-output ratio, and you spend more money in the hope of enjoying better service.

That ambulance will cost 1200 dollars for a trip. Is this called service? Just like if you order a fast food, you get 1000 yuan RMB. Who will say that this is good service? I can’t afford to get sick. You told me that this service is efficient and good? What kind of dog theory is this?

Let’s look at what is efficient.Whether efficiency only refers to speed depends on the result.Barefoot doctors in China used to see a doctor very quickly. Most patients came to prescribe some anti-inflammatory drugs and painkillers and sent them away. There was no inspection equipment, so the speed was certainly fast.

Efficiency depends on what the result is. What is an important criterion for the quality of medical services? It is the index of life expectancy and the calculation of input cost. Americans spend an average of tens of thousands of dollars a year on medical care, but the average life expectancy of Americans is the lowest in developed countries, and it often drops in some years. What kind of efficiency and good service is this?　

The third mistake: take medical service for granted as a pot of rice.

According to impossible trinity’s definition, a good doctor’s service attitude means a good service. Hurry up and see that a doctor is called efficient and a low fee means cheap. He also made a big mistake. He ignored people’s different needs.

Does the catering market exist in impossible trinity? If you have a big dining hall that everyone must go to, there will be impossible trinity:

Ma Yun came to dinner and ate the dishes of migrant workers, which is called poor service.

It is not expensive for middle-class people to eat, but they have to queue up, which is called inefficiency.

When the poor go to eat, they find that the price is more expensive than the roadside stalls. This is called the price is not cheap.

But didn’t the multi-level catering market completely solve this problem? Isn’t it cheap, efficient and good service for everyone to eat in a place that suits them?You mix all the people at all levels of consumption. Isn’t this an artificial contradiction?As a result, no one is satisfied. Is this the inevitable impossible trinity of the medical market?

More market-oriented medical care is that the needs of the poor will also be met, and it will be efficient and cheap.

India, which we despise, will show the world a model of medical marketization in 20 or 30 years. Private hospitals in India have innovated ophthalmic cataract surgery. One doctor performed cataract surgery for five or six patients at the same time. The doctor only did the key parts, while the rest were all operated by nurses. Low cost, low charge, high efficiency and good effect.

There is a private hospital in India that needs only $1,200 for heart surgery, which is a few tenths of the price of such surgery in the United States, but the level of surgery has surpassed that of ordinary hospitals in the United States. Just because other fields in India have not developed and people’s consumption power is insufficient, the results of medical marketization in India are not eye-catching.

The fourth mistake: misjudgment of China medical care.

If we just compare the United States, Commonwealth countries and China, my point is,Compared with medical care in these countries, medical care in China is efficient, good in service and cheap.

The per capita medical expenditure in China is about 10,000 yuan, but the average life expectancy in China is close to that in the United States. That is to say, it is close to that in the United States at one sixth of the medical expenses of Americans. Isn’t this efficient? When Chinese is ill, he can see a doctor at any time. Even if he goes to see an expert, he doesn’t have to wait for months. As long as you go to the queue, even if you buy a number from a scalper, you can always see him.

If you have to wait a month to meet experts in Beijing, how can 700 thousand people go to Beijing every day? In other words, you can quickly see experts who are equal to the severity of the disease, which is good service. Because the first dimension of medical service is not a good attitude, but that the other party can solve your problems.

Then it’s cheaper, the total expenditure is less, and of course it’s cheaper. The total expenditure of Chinese is lower than that of the United States or the United Kingdom. Once again, this is a comparison, and the bar is fine.

Then why? There’s actually only one reason,The degree of marketization of medical care in China is higher than that in Europe and America.

Nani, what are you talking about? It’s acceptable to say that all medical services in Britain are public, while hospitals and insurance companies in the United States are mainly private, while hospitals in China are mainly public. What makes you conclude that medical services in China are more market-oriented?

The world is often so strange, and the name is easy to deceive people. American hospitals are playing a private name, as if they were the product of marketization. Is this true? No, you have to look at the essence through the phenomenon. What is medical marketization? To put it more popularly, it isHospitals and doctors aim at making money, and the process of making money is less interfered.The less intervention, the higher the degree of marketization.

Do you think hospitals and doctors in China aim at making money? Of course it is. Because hospitals in China are not like public hospitals in Britain, which are fully funded, but hospitals in China have very little financial allocation.The main income of the hospital comes from the fees paid by patients.

Zhu Hongbiao, inspector of the Department of Physical Reform of the National Health and Wellness Commission, said that the direct subsidies from all levels of finance to public hospitals nationwide increased from 84.9 billion yuan in 2010 to 270.5 billion yuan in 2018. There are 50,000 public hospitals and health centers, with an average allocation of more than 5 million a year. Even the money for buying equipment is not enough, let alone paying salaries.

Therefore, hospitals in Britain do not aim at making money. They are the same as civil servants, and they are fully funded units. They do not need to cater to the needs of consumers, so they have a fixed source of income.

What is the difference between a fully funded hospital and a hospital that relies on patients to pay for medical treatment? The difference is,If you want to earn money, you must cater to consumers.Otherwise, consumers will not come to see you.

Although public hospitals are subject to various controls,But doctors in China have the motivation to improve their medical skills and to form a good reputation in the local society.Because skills and reputation can be exchanged for money, which can make more consumers come here.

Why can so many doctors operate for more than ten hours from day to night? What are they for? Because medical skills need practice, contact with various cases and repeated operations. Such doctors will become scarce resources, and thus get higher income.

If doctors are managed according to the civil service system, why should doctors improve their medical level? Why are you working so hard? Can’t you see fewer patients? Can’t you do a few less operations? Don’t I get the same salary? Under real public ownership, doctors have no incentive to improve efficiency.

Therefore, for a long time, doctors in public hospitals in China have been working hard, because efforts will have results, and efforts can increase income. At present, the level of treatment and operation of doctors in China is not inferior to that of developed countries, and even leads the world in many fields. The treatment level is high and the fees are not high, which is called good service.

It’s just that Dr. China’s income is limited, so he can’t raise the operation fee, so he can replace it with a red envelope, but he can’t raise the outpatient fee, so he can replace it with drug commission and inspection commission. Of course, these methods are not good, but they still constitute an incentive for doctors, and finally they have not blocked the way for doctors to make money.

Therefore, China hospitals have the motivation to continuously expand their scale, increase equipment and wards, and doctors have the motivation to continuously improve their level. Because they can make money, although they are restricted, they still have access.

At present, the scale of well-known top-three hospitals in various places is often very large, and some of them have operating income as high as several billion yuan. Is this entirely funded by the government? No. It is brought by the rush of consumers. There are always endless queues at the entrance of the top three hospitals, and the bustling crowds come to the door on their own initiative, and they vote with banknotes.

Many people say that private hospitals in China are terrible, and there is nothing wrong. Except ophthalmology and dentistry, other private medical services are really not so good, and they are full of fraud and low quality. Why is this? Because the marketization of public hospitals is not low. If it was a fully funded unit, the doctor would have finished running.

This makes it more difficult for private hospitals and public hospitals to compete. Many doctors don’t want to leave the public to go private for the simple reason.There are many public patients, and consumers have voted with their feet to prove that public hospitals in China can partially satisfy consumers.

Going back to American medical care, American medical care is completely private. Why is it so expensive? American medical care is subject to a lot of government control. Although it is nominally private, it must be handled according to various government regulations, which is called insufficient marketization. Give a few examples and you will understand.

Private hospitals in the United States need to apply to the government to increase beds. Is this called marketization?

Doctors in the United States need to apply to the government for interstate practice. Is this called marketization?

The number of doctors in the United States is controlled by doctors’ unions, and the supply quantity is artificially controlled. Is this called marketization?

The profit rate of medical insurance companies in the United States is set by the government. Is this called marketization?

How many restrictions are there like this? There are hundreds of them, and it takes tens of thousands of words to make them clear, so I won’t expand them here.

Then I’ll tell you again, even if all the medical enterprises in China are private enterprises now, it can’t be called marketization. Because in today’s China, the government-run medical insurance is dominant, and the government becomes the consumer of medical care, and he sets the rules. Even if you are a private medical service, your customers are also the government.

Under the current medical insurance control means, private medical care will also become an inefficient service organization, because it no longer serves consumers, but caters to and obeys the rules of government-run medical insurance.

It doesn’t matter whether the medical institution is public or private. What matters is whether it is market-oriented enough. As long as there are more market-oriented factors, so that consumers can choose with their feet and medical service providers can only make money by satisfying consumers, then medical care can be cheap, good and efficient.

The so-called medical impossible trinity theory is a stupid theory, and it is an argument for the specialization of medical services. In fact, medical care and eating are the same thing, both of which are service industries. How should medical care be done?Would you be satisfied with running a public canteen now?

This article comes from WeChat WeChat official account:Gu San Gu Si (ID: GH _ A68D56C34119), author: Gu Yuan

Beijing Zhengban Fa [2005] No.59

The people’s governments of the districts and counties, the commissions, offices and bureaus of the municipal government, and the municipal institutions:

　　"Beijing highly pathogenic avian influenza emergency plan" has been approved by the municipal government and is hereby issued to you, please implement it carefully.

　　November 22nd, 2005

Emergency plan for highly pathogenic avian influenza in Beijing

(Revised in 2005)

catalogue

　1 General rules

　　1.1 Purpose of compilation

　　1.2 Compilation basis

　　1.3 Scope of application

　　1.4 working principles

　　1.5 epidemic situation confirmation

　　1.6 epidemic classification

2 Organization and responsibilities

　　2.1 emergency command organization

　　2.2 Daily management organization

　　2.3 Expert Advisory Group

　　2.4 Emergency handling institutions

　　2.5 Responsibilities of District and County Governments

3 Early warning and reporting

　　3.1 Early warning level

　　3.2 Early warning release

　　3.3 Early warning response

　　3.4 epidemic situation report　

　4 emergency response

　　4.1 the principle of emergency response

　　4.2 Graded response

　　4.3 Basic emergency

　　4.4 Expand emergency response

　　4.5 Emergency response in areas without epidemic situation

　　4.6 Safety Protection of Emergency Handling Personnel

　　4.7 Termination of emergency response

　5 after-treatment

　　5.1 Late evaluation

　　5.2 Reward

　　5.3 Responsibility

　　5.4 Disaster compensation

　　5.5 Pensions and subsidies

　　5.6 Resume production

　　5.7 Social assistance

　6. Guarantee of emergency response

　　6.1 Technical Support of Command System

　　6.2 Communication Guarantee

　　6.3 Emergency resources and equipment support

　　6.4 Technical Reserve and Guarantee

　7 Training, exercises and publicity and education

　　7.1 Training

　　7.2 exercise

　　7.3 publicity and education

　8 supplementary provisions

　　8.1 Definitions and descriptions of noun terms and abbreviations

　　8.2 Plan Management and Update

　　8.3 Plan Interpretation Department

　　8.4 implementation time of the plan

　　1 General rules

　　1.1 Purpose of compilation

　　Through the preparation and implementation of this plan, we will earnestly strengthen the basic work of emergency treatment of highly pathogenic avian influenza, build a long-term management and emergency treatment mechanism that combines prevention and extermination, realize systematic prevention, scientific decision-making, intelligent command and overall security, ensure that administrative and technical resources can be mobilized in time when a highly pathogenic avian influenza epidemic occurs, and take strict measures to effectively control and exterminate the epidemic, so as to minimize the losses caused by the epidemic.

　　1.2 Compilation basis

　　This plan is formulated in accordance with People’s Republic of China (PRC) Animal Epidemic Prevention Law, People’s Republic of China (PRC) Entry-Exit Animal and Plant Quarantine Law, Emergency Regulations on Major Animal Epidemic, National Emergency Plan for Sudden Major Animal Epidemic, National Emergency Plan for Highly Pathogenic Avian Influenza, Measures for Beijing to Implement People’s Republic of China (PRC) Animal Epidemic Prevention Law, Beijing Overall Emergency Plan for Public Emergencies and related regulations.

　　1.3 Scope of application

　　This plan is applicable to the emergency treatment of highly pathogenic avian influenza epidemic that has caused or may cause serious losses in poultry production and serious damage to public health.

　　The management object of this plan is the poultry and its products produced, slaughtered, transported, stored, imported and sold in this city, the poultry used for viewing, performing arts, competitions, scientific research and teaching, diagnosis and treatment, and wild poultry such as migratory birds.

　　1.4 working principles

　　1.4.1 Territorial management

　　Governments at all levels shall uniformly lead and direct the emergency handling of highly pathogenic avian influenza epidemic; Territorial management shall be implemented for emergency handling of epidemic situation; Governments at all levels are responsible for extinguishing the epidemic situation of highly pathogenic avian influenza within their respective administrative areas, and all relevant departments shall, in accordance with the provisions of the plan, do a good job in emergency handling of the epidemic situation within their respective functions and duties. According to the scope, nature and degree of harm of highly pathogenic avian influenza epidemic, the epidemic situation shall be managed at different levels.

　　1.4.2 Rapid response

　　Governments at all levels shall, in accordance with relevant laws and regulations, establish and improve the emergency system, emergency response mechanism and emergency handling procedures for highly pathogenic avian influenza epidemic, and improve the emergency handling capacity for highly pathogenic avian influenza epidemic; When a highly pathogenic avian influenza epidemic occurs, governments at all levels should respond quickly and take decisive measures to control and extinguish the epidemic in time.

　　1.4.3 Prevention first.

　　Carry out the policy of putting prevention first, implement various prevention and control measures, do a good job in emergency reserve of personnel, technology, materials and equipment, and carry out technical training and emergency drills on a regular basis as needed; Carry out epidemic monitoring, early warning and forecasting, and timely analyze and warn all kinds of situations that may lead to highly pathogenic avian influenza epidemic, so as to achieve early detection, quick action and strict handling.

　　1.4.4 Scientific control

　　Implement scientific prevention and control, further establish and popularize scientific immunization and disinfection procedures, strengthen epidemiological research, standardize the operating procedures of epidemic prevention and quarantine, and realize scientific and standardized prevention and control work.

　　1.4.5 Group prevention and control

　　Strengthen the propaganda of epidemic prevention knowledge, popularize the epidemic prevention knowledge of highly pathogenic avian influenza, popularize immunization, diagnosis and disinfection techniques, improve the epidemic prevention awareness and self-protection awareness of animal breeding practitioners and the general public, and enhance the awareness of the whole society to prevent highly pathogenic avian influenza; The emergency treatment of highly pathogenic avian influenza epidemic situation depends on the masses, the whole people’s epidemic prevention, and mobilization of various resources to achieve mass prevention and control.

　　1.5 epidemic situation confirmation

　　1.5.1 After receiving the epidemic report, the supervising agency for animal epidemic prevention immediately dispatched two or more epidemic prevention personnel with relevant qualifications to the site for clinical diagnosis and put forward preliminary diagnosis opinions.

　　1.5.2 In case of suspected highly pathogenic avian influenza epidemic, timely collect disease materials and send them to the Municipal Veterinary Laboratory for serological detection (waterfowl cannot use agar diffusion test). If the diagnosis is positive, it can be confirmed as a suspected case of highly pathogenic avian influenza.

　　1.5.3 Suspected cases must be sent to the laboratory designated by the animal husbandry and veterinary administrative department of the State Council for virus isolation and identification for final diagnosis.

　　1.6 epidemic classification

　　According to the nature, harm degree and scope of highly pathogenic avian influenza epidemic, the epidemic situation of highly pathogenic avian influenza is divided into four levels: particularly serious (Grade I), major (Grade II), large (Grade III) and general (Grade IV).

　　1.6.1 particularly serious and highly pathogenic avian influenza epidemic situation (Grade I)

　　Within 21 days, there were more than 4 districts and counties with epidemic situation; Or the number of epidemic spots is more than 10; Or there are more than 4 townships or more than 3 contiguous townships in one district and county; Or in several districts and counties, there are multiple trends, and some people are infected, which continues to spread in a large area.

　　1.6.2 Major highly pathogenic avian influenza epidemic (Grade II)

　　Within 21 days, there were 2 to 3 districts and counties with epidemic situation; Or there are 4 to 9 epidemic spots in one district and county; Or an epidemic occurred in two townships.

　　1.6.3 Large and highly pathogenic avian influenza epidemic (Grade III)

　　Within 21 days, there are two or three epidemic spots in one district and county.

　　1.6.4 General epidemic situation of highly pathogenic avian influenza (Grade IV)

　　Occurred in a township and an epidemic spot.

　　2 Organization and responsibilities

　　2.1 emergency command organization

　　2.1.1 Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) shall lead, organize and coordinate the emergency treatment of highly pathogenic avian influenza in the city.

　　Responsibilities of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters):

　　(1) Implement the Law of People’s Republic of China (PRC) on Animal Epidemic Prevention and the Measures of Beijing for Implementing the Law of People’s Republic of China (PRC) on Animal Epidemic Prevention and other laws and regulations;

　　(2) Organizing the formulation and revision of the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing;

　　(3) To lead, organize and implement the prevention and control of highly pathogenic avian influenza in this Municipality, and formulate working procedures for the prevention and control of highly pathogenic avian influenza;

　　(4) to guide the prevention and treatment of highly pathogenic avian influenza in districts and counties.

　　2.1.2 The commander-in-chief of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) is the deputy mayor in charge, and the deputy commander-in-chief is the deputy secretary-general in charge of the municipal government and the director and deputy director in charge of the Municipal Agriculture Bureau. He is responsible for the unified leadership and unified command of the emergency treatment of highly pathogenic avian influenza epidemic and makes major decisions to deal with the highly pathogenic avian influenza epidemic.

　　2.1.3 member units and responsibilities of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters).

　　Municipal Bureau of Agriculture: (1) Responsible for organizing and coordinating relevant departments to do a good job in the prevention and control of highly pathogenic avian influenza; (2) To undertake the work functions of the Office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and organize and carry out the work of epidemic monitoring, immunization, culling, disinfection, disease diagnosis and reporting, epidemiological investigation and focus tracking in a unified way; (3) Put forward the technical scheme for epidemic control and extermination; (4) Delineate epidemic spots, epidemic areas and threatened areas, put forward blockade suggestions to the municipal government and participate in the organization and implementation; (5) Supervise and guide the culling of poultry in epidemic areas, carry out harmless treatment of poultry carcasses and poultry products according to the prescribed standards, disinfect and treat pollutants in epidemic areas, and disinfect breeding sites and surrounding environment; (6) Organize emergency immunization of related animals in the threatened area; (7) Monitoring related animals and animal products in the threatened area; (8) Organize the establishment of emergency epidemic prevention materials storage, and reserve enough vaccines, diagnostic reagents, disinfection drugs, machines and tools, equipment, protective articles, blockade facilities and harmless treatment facilities; (9) To be responsible for the training of the emergency response reserve team; (10) to participate in the propaganda work of epidemic spots, epidemic areas and surrounding people.

　　Municipal Agriculture Committee: responsible for studying and putting forward policy suggestions for the development of agricultural industry.

　　Propaganda Department of the Municipal Party Committee: responsible for coordinating and organizing the news propaganda work of highly pathogenic avian influenza and popularizing relevant scientific prevention and control knowledge.

　　Municipal government supervision room: responsible for supervising the prevention and control of highly pathogenic avian influenza in all districts and counties and relevant departments.

　　Legislative Affairs Office of the municipal government: responsible for organizing the formulation of policies, regulations and compulsory measures for the prevention and control of highly pathogenic avian influenza.

　　Municipal Information Office: responsible for the construction of information network for the prevention and control of highly pathogenic avian influenza, do a good job in network maintenance and ensure the safety and smoothness of the network.

　　Municipal organization: responsible for the implementation of the staffing of major animal disease prevention and control institutions.

　　Foreign Affairs Office of the Municipal Government: responsible for the review and coordination of foreign-related matters concerning the prevention and control of highly pathogenic avian influenza in this Municipality, and handling matters related to foreign embassies in China, overseas news agencies in Beijing, overseas personnel in Beijing, Hong Kong and Macao Beijing offices and personnel.

　　Municipal Health Bureau: responsible for prevention, medical observation and human epidemic monitoring of high-risk groups, and strengthening contact and information communication with animal epidemic prevention departments.

　　Municipal Development and Reform Commission: responsible for making plans and arrangements for infrastructure construction related to epidemic prevention and control.

　　Municipal Finance Bureau: responsible for ensuring the funds needed for emergency treatment of epidemic diseases such as immunization, monitoring, disinfection, culling and harmless treatment, and strengthening supervision over the use of funds.

　　Beijing Entry-Exit Inspection and Quarantine Bureau: Strengthen the quarantine of inbound and outbound animals, animal products and other quarantine objects to prevent the spread of epidemic diseases.

　　Municipal Public Security Bureau: responsible for assisting relevant departments to do a good job in blockade and forced culling of epidemic areas, and to do a good job in security and social security management of epidemic areas.

　　Municipal Administration for Industry and Commerce: It is responsible for closing the poultry and poultry products trading market in epidemic areas and cracking down on the illegal operation of poultry and poultry products in the market.

　　City Urban Management and Law Enforcement Bureau: responsible for cracking down on the illegal operation of poultry and poultry products outside the bazaar according to law.

　　Municipal Transportation Commission: Cooperate with epidemic prevention and control, and be responsible for giving priority to the dispatch of emergency epidemic prevention materials.

　　Municipal Science and Technology Commission: responsible for strengthening the research on early warning and forecasting of epidemic situation and prevention and control technology.

　　Municipal Bureau of Commerce: responsible for strengthening market monitoring and management of reserved poultry products, organizing market regulation and maintaining market stability.

　　Municipal Management Committee: responsible for coordinating the relevant units to do a good job in the collection and harmless treatment of kitchen waste.

　　Municipal Forestry Bureau: It is responsible for cracking down on illegal hunting and management of wild birds, closely monitoring the health status of wild birds, and immediately notifying the local supervising agencies for animal epidemic prevention when any abnormality is found, and assisting the animal husbandry and veterinary departments in monitoring relevant diseases.

　　Municipal Water Affairs Bureau: responsible for the observation of aquatic wild birds in water source protection areas and surrounding areas, and immediately notify the local supervising agencies for animal epidemic prevention when any abnormality is found, and assist the animal husbandry and veterinary departments to do a good job in disease monitoring.

　　Municipal Bureau of Landscape Architecture: responsible for coordinating the immunization of birds in parks under the guidance of animal quarantine departments and health and epidemic prevention departments at the county level, closely monitoring their health conditions, immediately notifying the local supervising agencies for animal epidemic prevention when finding any abnormality, and cooperating with the animal husbandry and veterinary departments to do a good job in monitoring the epidemic situation.

　　Municipal Bureau of Quality and Technical Supervision: responsible for strengthening the supervision of poultry products production and processing enterprises.

　　Logistics Department of Beijing Garrison: responsible for the prevention and control of epidemic diseases in its subordinate units, actively cooperating with the prevention and control of epidemic diseases in the station, and timely reporting epidemic information.

　　Municipal Local Taxation Bureau: It is responsible for regulating and controlling the taxation of poultry farms (households) affected by the disaster, and promoting them to resume production as soon as possible.

　　Civil Affairs Bureau: responsible for providing life assistance to poultry farm personnel and poultry farmers who have difficulties in living due to disasters, and properly arranging the basic life of the affected people.

　　Municipal Tourism Bureau: responsible for cooperating with the Municipal Agriculture Bureau to carry out epidemic prevention supervision and management of hotels and restaurants.

　　Beijing Railway Bureau: Ensure the transportation of emergency personnel dealing with highly pathogenic avian influenza, emergency materials and relevant samples such as prevention and control drugs and instruments, and ensure safety and speed; Cooperate with the supervising agencies for animal epidemic prevention to do a good job in quarantine supervision of poultry and their products transported by rail.

　　Civil Aviation North China Regional Administration: organize and coordinate relevant units to do a good job in air transportation support for emergency personnel dealing with highly pathogenic avian influenza epidemic situation, emergency materials such as prevention and control drugs and equipment, and related samples; Supervise the relevant units to cooperate with the supervising agencies for animal epidemic prevention to do a good job in quarantine supervision of poultry and their products transported by air, and cooperate with the inspection and quarantine departments to do a good job in inspection and quarantine of inbound and outbound poultry and their products.

　　Beijing Ershang Group Co., Ltd.: Responsible for the reserve of national and municipal commodities and ensuring the quality of the reserved commodities.

　　Beijing Dafa Animal Products Company: responsible for the animal epidemic prevention work of this enterprise.

　　Beijing Huadu Group Co., Ltd.: Responsible for the animal epidemic prevention work of this enterprise.

　　Beijing Sanyuan Group Co., Ltd.: Responsible for the animal epidemic prevention work of this enterprise.

　　2.2 Daily management organization

　　The municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) has an office as a daily office. The office is located in the Municipal Agriculture Bureau. The office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) is equipped with a command site and corresponding facilities and equipment as a command platform when a major animal epidemic occurs, and it is interconnected with the command platform of the Municipal Emergency Committee.

　　The functions of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) Office for the prevention and control of highly pathogenic avian influenza are as follows:

　　(1) Responsible for organizing the implementation of the decision of the Municipal Emergency Committee and the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), mobilizing the reserve team for emergency treatment of highly pathogenic avian influenza epidemic, coordinating the member units of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and contacting the municipal expert advisory group.

　　(2) Responsible for organizing the drafting and revision of the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing, organizing emergency drills for highly pathogenic avian influenza incidents, and organizing publicity, education and training for the prevention and treatment of highly pathogenic avian influenza.

　　(3) Responsible for the collection, analysis and reporting of highly pathogenic avian influenza information at home and abroad.

　　(4) responsible for organizing the investigation of hidden dangers of highly pathogenic avian influenza in the city.

　　(5) Responsible for issuing blue and yellow warning information, and put forward suggestions on issuing orange and red warning information to the office of the Municipal Emergency Committee.

　　(6) responsible for the construction of the city’s highly pathogenic avian influenza emergency command system and the management of emergency resources.

　　(7) coordinate and deal with the problems encountered in the prevention and treatment of highly pathogenic avian influenza.

　　2.3 Expert Advisory Group

　　City headquarters for the prevention and control of major animal diseases (emergency headquarters, a major animal disease) hired experts to form a highly pathogenic avian influenza expert advisory group.

　　Main responsibilities:

　　(1) to put forward suggestions on technical measures to deal with the corresponding level of highly pathogenic avian influenza epidemic;

　　(2) Make suggestions on emergency preparedness for highly pathogenic avian influenza epidemic;

　　(3) to participate in the formulation or revision of emergency plans and disposal technical schemes for highly pathogenic avian influenza;

　　(4) to provide technical guidance and training for emergency treatment of highly pathogenic avian influenza epidemic;

　　(5) Put forward suggestions on termination and post-evaluation of emergency response to highly pathogenic avian influenza epidemic;

　　(6) To undertake other tasks assigned by the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and the Office.

　　2.4 Emergency handling institutions

　　2.4.1 Field headquarters

　　The on-site headquarters is responsible for organizing the implementation of the decision of the Municipal Emergency Committee and the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and coordinating and mobilizing the member units of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) to jointly carry out the emergency treatment of highly pathogenic avian influenza epidemic.

　　2.4.2 Reserve Team for Emergency Treatment of Highly Pathogenic Avian Influenza

　　Key personnel in animal husbandry and veterinary administration, animal epidemic prevention supervision, health and epidemic prevention, public security and other aspects are drawn from relevant departments and units of the city and county to form an emergency response reserve team, and epidemic situation handling, public security blockade, emergency immunization and health and epidemic prevention teams are set up separately, and each team is composed of corresponding professionals. Its main duties are to blockade the epidemic areas, cull susceptible poultry in the epidemic areas, strictly disinfect the epidemic areas and do a good job in personnel protection according to the requirements of emergency command agencies for major animal epidemics at all levels and the specific scope of designated epidemic areas and threatened areas.

　　2.5 Responsibilities of District and County Governments

　　The district and county governments shall take overall responsibility for the prevention and control of highly pathogenic avian influenza within their respective jurisdictions. According to the contents of this plan, formulate the planning, monitoring plan and emergency plan for the prevention and control of highly pathogenic avian influenza in this area; Establish an emergency command system and daily offices for major animal epidemics in districts and counties, uniformly lead and direct the emergency handling of highly pathogenic avian influenza epidemic within their respective administrative areas, make decisions on handling highly pathogenic avian influenza epidemic within their respective administrative areas, and decide on measures to be taken.

　　3 Early warning and reporting

　　3.1 Early warning level

　　According to the possible harm degree, development and urgency of highly pathogenic avian influenza epidemic, it is divided into four warning levels from low to high: general (level IV), severe (level III), severe (level II) and particularly severe (level I), which are indicated by blue, yellow, orange and red in turn.

　　Blue Warning: Outbreaks of highly pathogenic avian influenza with neighboring countries or other provinces, autonomous regions and municipalities (except Inner Mongolia Autonomous Region, Liaoning Province, Shandong Province, Henan Province, Shanxi Province, Hebei Province and Tianjin City).

　　Yellow warning: The outbreak of highly pathogenic avian influenza in Inner Mongolia Autonomous Region, Liaoning Province, Shandong Province, Henan Province and Shanxi Province has a tendency to spread to this city.

　　Orange warning: Highly pathogenic avian influenza has broken out in Hebei Province and Tianjin, and it has a tendency to spread to this city.

　　Red warning: A suspected case of highly pathogenic avian influenza occurred in this city, or a suspected case of human infection with highly pathogenic avian influenza appeared.

　　3.2 Early warning release

　　3.2.1 According to the monitoring information provided by the supervising agency for animal epidemic prevention and the epidemic dynamics of highly pathogenic avian influenza at home and abroad, the office of the municipal headquarters for the prevention and control of major animal epidemics (emergency headquarters) analyzes the harm degree and development trend according to the occurrence, development law and characteristics of highly pathogenic avian influenza epidemic, puts forward corresponding early warning suggestions, and releases them after being approved by the municipal headquarters for the prevention and control of major animal epidemics (emergency headquarters) and the municipal emergency committee.

　　3.2.2 After confirming the early warning information that may cause highly pathogenic avian influenza epidemic, the Municipal Command for Prevention and Control of Major Animal Diseases (emergency headquarters) shall deploy in time according to the formulated plan, and promptly notify all relevant departments and units to take action to prevent the occurrence and spread of highly pathogenic avian influenza epidemic.

　　3.2.3 In accordance with the relevant provisions on the release and confidentiality of the epidemic situation, early warning of highly pathogenic avian influenza with different levels shall be released and cancelled. General and heavier level of early warning, by the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) organization issued and announced the cancellation. Serious and especially serious warning information needs to be reported to the main leaders of the city for approval, and the office of the Municipal Emergency Committee is responsible for organizing the release and announcement of cancellation.

　　3.3 Early warning response

　　3.3.1 Blue Early Warning Response

　　Pay close attention to the development trend of epidemic situation in neighboring countries or relevant provinces, autonomous regions and municipalities. Strengthen the reserve of epidemic prevention materials such as vaccines and disinfectants. Strengthen the monitoring of immune effect. Strengthen the observation and monitoring of transit migratory birds. It is forbidden to import birds and their products from countries and regions in epidemic areas announced by the Ministry of Agriculture and the General Administration of Quality Supervision, Inspection and Quarantine, and strengthen the quarantine of imported birds and their products in non-epidemic areas. After the epidemic situation in neighboring countries or relevant provinces, autonomous regions and municipalities is controlled, the blue warning will be cancelled.

　　3.3.2 Yellow Early Warning Response

　　On the basis of implementing the blue warning response measures, all poultry farms (households) should adopt closed feeding methods to strictly control the flow of people and logistics. Expand the monitoring scope of poultry immune effect, and timely supplement the poultry farms (households) with low immune titer. Thoroughly disinfect the internal and external environment of poultry farms (households). In addition to the live birds from the breeding bases outside Beijing designated by this Municipality entering Beijing according to the relevant procedures, other live birds from other places will be stopped from entering Beijing. Suspend the city’s live poultry trading activities, suspend the release of pigeons and temporarily close the bird trading market. Strictly inspect and quarantine poultry and products entering Beijing through roads, railways, civil aviation and other channels according to law. Combine neighboring provinces and cities to carry out compulsory immunization of poultry within 5 kilometers from both sides of the administrative boundary of this Municipality, and establish a "firewall" for the prevention and control of highly pathogenic avian influenza in this Municipality; Carry out dragnet inspection, strengthen the monitoring of the immune effect of poultry within 5 kilometers from both sides of the administrative boundary of this Municipality, and make up for the exemption in time when problems are found. All members of the emergency command organization for major animal diseases strengthen information communication and jointly strengthen various prevention and control measures. After the epidemic situation in relevant provinces, autonomous regions and municipalities is effectively controlled, the yellow warning will be cancelled.

　　3.3.3 Orange Early Warning Response

　　On the basis of implementing the yellow early warning response measures, stop foreign poultry and their products from entering Beijing. When necessary, purchase poultry within 3 kilometers of the border between this city and the epidemic area. Strengthen joint prevention and control with Hebei Province and Tianjin City, and establish an information notification mechanism to ensure timely and effective communication of information. After the epidemic situation in Hebei Province and Tianjin City was effectively controlled, the orange warning was cancelled.

　　3.3.4 Red Warning Response

　　On the basis of implementing the orange early warning and response measures, the relevant departments closed the area where suspected cases occurred, and implemented measures such as culling and compulsory immunization for poultry in this area and surrounding areas. Isolate people suspected of being infected with highly pathogenic avian influenza and their close contacts. The Municipal Agriculture Bureau and the Municipal Health Bureau strengthen information communication and jointly strengthen various prevention and control measures. If suspected cases are excluded, cancel the red warning; If the epidemic situation is confirmed, enter the emergency response procedure.

　　3.4 epidemic situation report

　　Any unit or individual has the right to report the epidemic situation of highly pathogenic avian influenza and its hidden dangers to governments at all levels and relevant departments, and to report the departments, units and individuals that fail to perform or fail to perform the duties of emergency handling of highly pathogenic avian influenza epidemic in accordance with regulations to higher government departments.

　　3.4.1 Responsibility Reporting Unit and Responsibility Reporting Person

　　(1) Responsibility reporting unit

　　a。 Units related to poultry breeding and management, production and management of poultry products, various animal clinics and other related units;

　　b。 Relevant scientific research units and institutions;

　　c。 Supervising agencies for animal epidemic prevention under local governments at or above the county level;

　　d。 Other relevant departments and units.

　　(2) Responsible reporter

　　Personnel who raise and manage poultry and produce and manage poultry products; Staff of various animal clinics; Relevant staff of scientific research units and colleges; Personnel of supervising agencies for animal epidemic prevention at all levels performing their duties; Other relevant personnel.

　　3.4.2 Report Form

　　The supervising agencies for animal epidemic prevention at all levels shall report the epidemic situation of highly pathogenic avian influenza according to the relevant provisions of the state; Other responsible reporting units and individuals report by telephone or in writing.

　　3.4.3 Time limit and procedures for reporting

　　When a suspected highly pathogenic avian influenza epidemic situation is found, it must be reported to the district and county supervising agencies for animal epidemic prevention immediately. After receiving the report, the county supervising agencies for animal epidemic prevention shall immediately rush to the scene for clinical diagnosis. If necessary, please ask the municipal supervising agencies for animal epidemic prevention to send people to assist in the diagnosis. After it is identified as a suspicious epidemic situation, it shall report the epidemic situation to the municipal supervising agencies for animal epidemic prevention step by step within 2 hours, and also report it to the county emergency headquarters for major animal epidemics. The municipal supervising agency for animal epidemic prevention shall, within 1 hour after receiving the report, report to the office of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the municipal veterinary administrative department. The office of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the municipal veterinary administrative department shall report to the municipal government (Municipal Emergency Committee) and the Ministry of Agriculture respectively within 1 hour after receiving the report.

　　If it is identified as a suspicious epidemic situation, it shall immediately collect sick materials and send them to the laboratory of the Municipal Veterinary Laboratory for preliminary diagnosis; Confirmed as a suspected case of highly pathogenic avian influenza, sent to the National Avian Influenza Reference Laboratory for diagnosis.

　　3.4.4 Report content

　　(1) the time and place of the epidemic;

　　(2) species and quantity of infected or suspected infected animals, number of animals in the same group, immunity, number of deaths, clinical symptoms, pathological changes and diagnosis;

　　(3) Epidemiology and focus tracking;

　　(4) Control measures taken;

　　(5) the unit, person in charge, reporter and contact information of the epidemic situation report.

　　4 emergency response

　　4.1 the principle of emergency response

　　When a highly pathogenic avian influenza epidemic occurs, the municipal, district, county and township governments and their relevant departments make emergency response according to the principle of graded response. At the same time, it is necessary to follow the objective law of the occurrence and development of highly pathogenic avian influenza epidemic, and adjust the response level in time in combination with the actual situation and the needs of prevention and control work. Pay attention to the analysis of the development trend of highly pathogenic avian influenza epidemic situation, and upgrade the response level in time for the epidemic situation with expanding situation and influence; For the epidemic with limited scope and no further spread, the response level should be reduced accordingly. The emergency treatment of highly pathogenic avian influenza epidemic should adopt the methods of investigation, treatment and verification to effectively control the development of the epidemic.

　　Districts and counties where highly pathogenic avian influenza epidemic has not occurred should organize personnel, materials and other emergency preparations, take necessary preventive and control measures to prevent highly pathogenic avian influenza epidemic from occurring within their respective administrative areas, obey the unified command of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and support the emergency treatment at the place where highly pathogenic avian influenza epidemic has occurred.

　　4.2 Graded response

　　4.2.1 Emergency response to particularly serious and highly pathogenic avian influenza epidemic (Grade I)

　　By the office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), suggestions are made to the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and the Office of the Municipal Emergency Committee, and the emergency plan is launched after being approved by the main leaders of the municipal party committee and the municipal government. The mayor is responsible for emergency command; The deputy mayor in charge should rush to the scene, and set up an on-site headquarters composed of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the local district and county governments. The mayor is the commander in chief, responsible for participating in the formulation of plans, guiding, coordinating and urging relevant departments to carry out their work; The commander-in-chief of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and the relevant leaders of the local districts and counties shall be the executive commander-in-chief, responsible for the specific command and disposal of the epidemic.

　　When a particularly serious and highly pathogenic avian influenza epidemic occurs, the municipal government or district/county government shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The city stopped all poultry and its products from entering and leaving Beijing and closed all live poultry trading markets. If someone is infected with highly pathogenic avian influenza, the health department should treat the infected person in isolation and observe the people in contact with him in isolation. By the epidemic emergency response reserve team, poultry within a radius of 3 kilometers with the epidemic as the center will be culled, and poultry products will be treated harmlessly; The supervising agencies for animal epidemic prevention shall organize the implementation of compulsory immunization for poultry within 5 kilometers outside the epidemic area; Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

　　4.2.2 Emergency Response to Major Highly Pathogenic Avian Influenza Epidemic (Level II)

　　The municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) is responsible for starting the emergency plan. The deputy mayor in charge is responsible for emergency command, and the deputy secretary-general in charge assists the deputy mayor in his work. The director and deputy director of the Municipal Bureau of Agriculture should rush to the scene and set up an on-site headquarters composed of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the district and county governments. The deputy mayor in charge is the chief commander, responsible for participating in the formulation of the plan and coordinating the work of relevant departments; The director of the Municipal Bureau of Agriculture, the deputy director in charge and the relevant responsible comrades of the districts and counties shall be the executive chief commander, responsible for the specific command and disposal of the incident.

　　When a major highly pathogenic avian influenza epidemic occurs, the municipal government or district/county government shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The poultry within a radius of 3 kilometers centered on the epidemic spot shall be culled by the emergency response reserve team; Birds within 5 kilometers outside the epidemic area shall be given compulsory immunization by the supervising agencies for animal epidemic prevention; Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

　　4.2.3 Emergency response to a large and highly pathogenic avian influenza epidemic (Grade III)

　　The office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) is responsible for starting the emergency plan and taking full command. When necessary, the person in charge of the office of the Municipal Agriculture Bureau or the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) was present to participate in the formulation of the plan and coordinate the work of relevant departments.

　　When a large highly pathogenic avian influenza epidemic occurs, the local district and county governments shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The poultry within a radius of 3 kilometers centered on the epidemic spot shall be culled by the emergency response reserve team; Poultry within 5 km outside the epidemic area shall be given compulsory immunization by the supervising agency for animal epidemic prevention. Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

　　4.2.4 Emergency Response of General Highly Pathogenic Avian Influenza Epidemic (Grade IV)

　　The emergency headquarters of major animal diseases in the epidemic areas and counties shall be responsible for starting the emergency plan and handling it with full authority. When necessary, the office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) sent technicians to the site to give guidance and support.

　　When a general highly pathogenic avian influenza epidemic occurs, the local district and county governments shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The poultry within a radius of 3 kilometers centered on the epidemic spot shall be culled by the emergency response reserve team; Birds within 5 kilometers outside the epidemic area shall be given compulsory immunization by the supervising agencies for animal epidemic prevention; Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

　　4.3 Basic emergency

　　Under the unified leadership and command of governments at all levels and close cooperation with relevant departments, emergency treatment of highly pathogenic avian influenza epidemic situation will be carried out.

　　(1) according to the needs of highly pathogenic avian influenza epidemic, mobilize all kinds of personnel, materials, transportation and related facilities and equipment to carry out emergency treatment.

　　(2) Issue a blockade order to blockade the epidemic areas. If the blockade of epidemic areas exceeds the area under its jurisdiction, and the blockade of epidemic areas leads to the interruption of trunk traffic, it shall be reported to the government at the next higher level for approval and release the blockade decision according to regulations.

　　(3) Organize supervising agencies for animal epidemic prevention to investigate and deal with the epidemic situation of highly pathogenic avian influenza; Delineate epidemic spots, epidemic areas and threatened areas, and propose and implement targeted prevention and control measures; According to the provisions of the collection of disease materials, sent to the city veterinary laboratory for testing, such as confirmed as suspected cases, sent to the National Avian Influenza Reference Laboratory for diagnosis.

　　(4) Organize emergency preparedness teams to temporarily requisition houses, places and vehicles, take emergency measures such as culling infected animals and related animals, sealing public drinking water sources contaminated by highly pathogenic avian influenza pathogens, and organize emergency immunization as needed.

　　(5) Take measures to restrict or stop the trade of poultry and poultry products according to the epidemic level.

　　(6) Organize public security, transportation and other departments to set up temporary animal epidemic prevention supervision and inspection stations at traffic stations according to law to inspect and disinfect vehicles.

　　(7) Organize township governments, sub-district offices, neighborhood committees and village committees to carry out mass prevention and control.

　　(8) Organize relevant departments to ensure the supply of commodities, stabilize prices, severely crack down on illegal and criminal activities such as spreading rumors and spreading rumors, making and selling fake goods and disturbing social order, and maintain social stability.

　　(9) Responsible for the supervision and inspection of emergency handling.

　　(10) In accordance with the provisions of the state, timely carry out training on relevant technical standards and norms.

　　(11) to carry out targeted publicity and education on epidemic prevention knowledge of highly pathogenic avian influenza, and improve people’s awareness of prevention and control and self-protection ability.

　　(12) Organize experts to comprehensively evaluate the handling of highly pathogenic avian influenza epidemic situation, including the epidemic situation, on-site investigation, tracking of epidemic sources, and measures such as poultry culling, harmless treatment, disinfection and emergency immunization.

　　(13) do a good job in information collection, reporting and analysis of highly pathogenic avian influenza epidemic.

　　4.4 Expand emergency response

　　(1) When an epidemic situation of highly pathogenic avian influenza involving foreign countries occurs, the Foreign Affairs Office of the municipal government, the Municipal Publicity Office and other relevant departments should send people to participate in the work of the on-site headquarters according to the needs of emergency handling and the division of responsibilities, and be responsible for undertaking related matters.

　　(2) With the existing emergency resources and manpower in this city, it is difficult to implement effective disposal, and it is necessary for the state or other provinces and cities to provide assistance and support. The Municipal Emergency Committee should immediately report the situation to the CPC Central Committee and the State Council, request the CPC Central Committee and the State Council to directly direct or authorize Beijing to direct, coordinate and mobilize the emergency resources of the central state units in Beijing, the Beijing Military Region, the Beijing Armed Police Corps and other aspects to participate in the handling of the epidemic.

　　4.5 Emergency response in areas without epidemic situation

　　According to the epidemic nature, characteristics, occurrence area and development trend of highly pathogenic avian influenza epidemic area, analyze the possibility and degree of being affected in this area, and focus on the following work:

　　(1) Keep close contact with the epidemic area and obtain relevant information in time.

　　(2) Organize the preparation of personnel and materials needed for emergency treatment in this administrative area.

　　(3) to carry out monitoring and prevention and control of highly pathogenic avian influenza in breeding, transportation, slaughter and circulation to prevent the introduction, occurrence and spread of highly pathogenic avian influenza.

　　(4) to carry out epidemic prevention knowledge propaganda of highly pathogenic avian influenza, and improve public protection ability and awareness.

　　(5) do a good job in quarantine supervision of highway, railway, aviation and water transportation according to regulations.

　　4.6 Safety Protection of Emergency Handling Personnel

　　It is necessary to ensure the safety of personnel involved in the emergency response to the epidemic. Emergency personnel should take special protective measures, such as wearing protective clothing, inoculating corresponding vaccines, and conducting serological tests regularly.

　　4.7 Termination of emergency response

　　The termination of the emergency response of highly pathogenic avian influenza epidemic situation must meet the following conditions: after all poultry and their products in the epidemic area are treated according to regulations, there are no new cases of the epidemic in at least one longest incubation period.

　　Especially serious and highly pathogenic avian influenza epidemic situation shall be evaluated by relevant experts organized by the municipal animal husbandry and veterinary administrative department, and suggestions for terminating emergency response shall be put forward, submitted to the municipal government for approval, and reported to the Ministry of Agriculture.

　　The larger and generally highly pathogenic avian influenza epidemic situation shall be evaluated by the county animal husbandry and veterinary administrative department to organize relevant experts to control the epidemic situation, put forward suggestions to terminate the emergency response, report to the county government for approval, and report to the municipal headquarters for the prevention and control of major animal epidemics (emergency headquarters) and the municipal emergency committee office.

　　5 after-treatment

　　5.1 Late evaluation

　　After the highly pathogenic avian influenza epidemic is extinguished, the emergency command institutions of major animal diseases at all levels shall organize relevant personnel to evaluate the handling of the epidemic. The contents of the assessment should include: the basic situation of the epidemic, the process of the epidemic, the results of field investigation and laboratory testing; Analysis and conclusion of the main causes of the epidemic; The process of handling the epidemic situation, the preventive measures taken and their effects; The problems and difficulties in the emergency process, as well as the reasons for the outbreak of this epidemic, the problems and difficulties in prevention and control work, etc., put forward improvement suggestions and countermeasures.

　　The assessment report shall be submitted to the government at the corresponding level (emergency committee) within 20 days, and a copy shall be sent to the emergency command organization of major animal diseases at the next higher level.

　　5.2 Reward

　　The municipal or district/county government shall commend the advanced collectives and individuals who have contributed to the emergency treatment of highly pathogenic avian influenza epidemic; Those who died heroically in the emergency treatment of highly pathogenic avian influenza epidemic situation shall be regarded as martyrs according to relevant regulations.

　　5.3 Responsibility

　　In the process of prevention, reporting, investigation, control and treatment of highly pathogenic avian influenza epidemic, there are dereliction of duty, dereliction of duty and other violations of law and discipline, and the responsibility of the parties concerned shall be investigated according to relevant laws and regulations.

　　5.4 Disaster compensation

　　In accordance with the relevant provisions of this Municipality on the management of special funds for compulsory animal culling compensation, the amount and grade standards shall be determined, and compensation shall be made according to the procedures. The object of compensation is the units and individuals whose poultry or property have suffered losses in order to put out the epidemic or prevent its spread.

　　5.5 Pensions and subsidies

　　Governments at all levels should organize relevant departments to give corresponding subsidies and pensions to those who are sick, disabled or killed due to their participation in emergency response work in accordance with relevant state regulations.

　　5.6 Resume production

　　After the highly pathogenic avian influenza epidemic is extinguished, restrictive measures such as blockade restrictions and circulation control will be cancelled. According to the characteristics of highly pathogenic avian influenza epidemic situation, the epidemic spots and epidemic areas should be continuously monitored, and animals can be reintroduced to resume poultry production if they meet the requirements.

　　5.7 Social assistance

　　After the outbreak of highly pathogenic avian influenza, the competent civil affairs departments at all levels should do a good job in the reception, distribution and use of relief materials and funds provided by all sectors of society to the epidemic areas in accordance with the People’s Republic of China (PRC) Public Welfare Donation Law, the Interim Measures for the Administration of Disaster Relief Donation and relevant state policies.

　　6. Guarantee of emergency response to epidemic situation

　　After the outbreak of highly pathogenic avian influenza, governments at all levels should actively coordinate with veterinary, health, finance, transportation, public security, industry and commerce, urban management, quality and technical supervision, forestry and other departments to do a good job in emergency support for epidemic handling.

　　6.1 Technical Support of Command System

　　6.1.1 The Office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) shall improve the technical support system for emergency command to meet the command requirements for handling the highly pathogenic avian influenza epidemic. It mainly includes: wired communication system, wireless command and dispatch system, information reporting system, basic geographic information system, analysis and decision support system, video conference system, mobile command system, etc.

　　6.1.2 The Office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and all districts and counties shall gradually establish and improve the basic information database of emergency command. The basic information database of emergency command includes epidemic monitoring and early warning database, emergency plan database based on spatial location, emergency decision-making consulting expert database, and auxiliary decision-making knowledge database, etc. It should be maintained and updated in time to ensure the quality of data and provide support for emergency command, analysis and decision-making of highly pathogenic avian influenza.

　　6.2 Communication Guarantee

　　Under the leadership of the Municipal Emergency Committee Office and the cooperation of the Municipal Information Office and the Municipal Communications Administration, a four-level network transmission system covering cities, districts, counties, streets (towns) and communities (villages) will be formed through various telecom operators in this city, Beijing wired government private network and wireless government private network, and a stable and reliable emergency communication system with multi-routing, wire and wireless will be established. When the communication trunk line is interrupted or the existing network is blind, the communication means such as satellite and microwave are used to ensure the contact between the office of the Municipal Emergency Committee and the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the on-site headquarters.

　　6.3 Emergency resources and equipment support

　　6.3.1 The emergency team ensures that the municipal, district and county governments should establish a reserve team for emergency treatment of highly pathogenic avian influenza epidemic, and specifically implement culling, disinfection and harmless treatment. The reserve team consists of personnel from veterinary, health, public security, industry and commerce, armed police, military and other departments, and is relatively fixed.

　　6.3.2 Transportation Guarantee The transportation department should give priority to the dispatch of emergency epidemic prevention materials.

　　6.3.3 The health department of medical and health security is responsible for carrying out human monitoring of highly pathogenic avian influenza and doing a good job in prevention and security. Veterinary administrative departments and health departments at all levels should inform each other of the epidemic situation in a timely manner and work together.

　　6.3.4 Public security departments and armed police forces should assist in the blockade and forced culling of epidemic areas, and do a good job in the security and social security management of epidemic areas.

　　6.3.5 Material Guarantee Governments at all levels shall, according to the principle of graded storage, establish emergency epidemic prevention material storage, and store enough medicines, vaccines, diagnostic reagents, instruments, protective equipment, transportation and communication tools.

　　Reserve materials should be planned reasonably according to the poultry breeding quantity and disease control. Mainly includes: (1) highly pathogenic avian influenza inactivated vaccine; (2) diagnostic reagents; (3) Disinfecting drugs, including stable chlorine dioxide, peracetic acid, chlorine disinfectant, caustic soda, potassium permanganate, etc. (4) disinfection equipment, including high-pressure sterilizers, portable disinfection machines and tools, disinfection containers, etc.; (5) Protective articles, including breathable jumpsuits, latex gloves, ordinary white coats, hats, masks, waterproof shoes, safety goggles, etc. (6) Means of transport, including closed transport vehicles, trucks and special vehicles for on-site diagnosis and disinfection; (7) Sealing appliances, including high-strength environmentally-friendly sealed plastic bags and plastic sheets; (8) Communication tools, including car phones and walkie-talkies; (9) Other articles, including towels, flashlights and disposable 2ml syringes.

　　6.3.6 Funding guarantee

　　The financial departments of the municipal, district and county governments should arrange emergency funds for sudden major animal diseases in the general expenditure budget, use government reserve funds when necessary, and gradually increase the proportion of funds extraction according to the needs of urban public safety management.

　　After the outbreak of highly pathogenic avian influenza, first, adjust the internal structure of departmental budget according to the actual situation, cut departmental expenditure budget, and concentrate financial resources to deal with the epidemic; Second, with the approval of the government, the emergency special reserve fund was launched. In accordance with the principle of "emergency handling", simplify the work link, and complete the relevant procedures within 1 working day for the funding approved by the municipal government to ensure the smooth progress of the emergency handling of highly pathogenic avian influenza epidemic.

　　The funds required for immunization, emergency epidemic prevention materials reserve and epidemic monitoring every year shall be guaranteed by the governments at all levels, and the specific subsidy standards and management measures shall be jointly formulated by the agricultural department and the financial department. In the event of a highly pathogenic avian influenza epidemic, there is a gap between the actual capital demand and the budget arrangement, and the financial departments at all levels should add it to ensure the expenditure needs.

　　The financial departments at all levels should strengthen the management and supervision of the use of epidemic prevention funds while ensuring that the epidemic prevention funds are in place in time and in full.

　　6.4 Technical Reserve and Guarantee

　　Establish an expert Committee on highly pathogenic avian influenza. The expert committee is composed of technical officials, animal disease prevention experts, epidemiologists, health and epidemic prevention experts, wildlife experts, animal welfare experts, economic experts, risk assessment experts, legal experts, etc. It is responsible for consulting the strategies and methods of disease prevention and control, and participating in the planning, formulation and implementation of prevention and control technical schemes.

　　7 Training, exercises and publicity and education

　　7.1 Training Governments at all levels should organize systematic training for members of the reserve team for handling highly pathogenic avian influenza epidemic. The contents include: (1) knowledge of prevention, control and eradication of highly pathogenic avian influenza, including knowledge and skills of immunization, epidemiological investigation, diagnosis, collection and inspection of sick materials, disinfection, isolation, blockade, quarantine, culling and harmless treatment; (2) animal epidemic prevention laws and regulations; (3) Personal protection knowledge; (4) Common sense of public security and environmental protection; (5) Work coordination and cooperation with relevant requirements.

　　7.2 Exercise When there is no highly pathogenic avian influenza epidemic, the emergency headquarters of major animal diseases at the city, district and county levels should organize drills in a planned way every year to ensure the emergency response capability of the emergency response reserve team.

　　7.3 Publicity and Education Governments at all levels should organize relevant departments to widely spread the emergency knowledge of highly pathogenic avian influenza epidemic to the public through radio, film and television, newspapers, manuals and other forms, publicize the popular science knowledge of highly pathogenic avian influenza epidemic prevention, and guide the masses to treat the highly pathogenic avian influenza epidemic in a scientific way. It is necessary to give full play to the role of relevant social groups in popularizing animal epidemic prevention knowledge and popular science knowledge.

　　8 supplementary provisions

　　8.1 Definitions and descriptions of noun terms and abbreviations

　　Epidemic spot: the place where sick poultry are located. Generally refers to the poultry farm (household) where sick poultry are located or other relevant slaughter and business units.

　　Epidemic area: refers to the area with the epidemic spot as the center and within a radius of 3 kilometers. When dividing epidemic areas, we should pay attention to the local breeding environment, natural barriers (such as rivers and mountains) and traffic and other factors.

　　Threatened area: refers to the area within 5 kilometers outside the epidemic area.

　　In the expression of relevant quantities in this plan, "above" includes the number, and "below" does not include the number.

　　8.2 Plan Management and Update

　　This plan is formulated by the office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), organized by the office of the Municipal Emergency Committee, reported to the Municipal Emergency Committee for the record, and approved, issued and implemented by the municipal government. The plan should be reviewed regularly, and revised in time according to the situation changes of highly pathogenic avian influenza epidemic and the problems found in the implementation. The emergency plan for highly pathogenic avian influenza formulated by all districts and counties and their relevant departments shall be reported to the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) for the record.

　　8.3 Plan Interpretation Department

　　This plan shall be interpreted by the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters).

　　8.4 implementation time of the plan

　　This plan shall be implemented as of the date of issuance, and the Notice of Beijing Municipal Bureau of Agriculture on Printing and Distributing the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing (Jing Nong Zi [2004] No.2) shall be abolished at the same time.

Hot hitIn the worldIt is worthy of being a drama of Wang Fried released by CCTV during the Spring Festival. Even with the strong impact of the Winter Olympics, it can be at the climax of the plot developmentGet a good rating of 2.

With the growth of the characters, the timeline of this drama came to the 1980s. Although it lacked a lot of helplessness in the social background of the last decade, the material world was extremely rich.It has prompted people’s desire for other things, which has led to more dramatic conflicts.

The key word in the 1980s was "reform". Since it is reform, it means change. The most popular and sought-after iron rice bowl no longer exists, and all the adults are clearly married, but they have to face the distress of being laid off. Faced with such a situation,Zhou Bingkun’s personality characteristics can be particularly highlighted.It is worth talking about, because no matter from all aspects of performance, family, friendship and love, he can be called a model of a good man.

Can call him a good man,The first aspect is filial piety to parents.

My father, as an eighth-class mechanic, has been out all the year round building railways in China, leaving only their mother and son to guard the home. This little son of Zhou, who was not watched by his father, had to wait until his father came home and nodded in person to get married when his father didn’t know his relationship with "widow" Zheng Juan. For a father who has not seen each other for a long time,He gave great respect.

Filial piety is certainly not enough for a father who is away from home all the year round. His filial piety,Especially in his attitude towards his mother.. Zhou Jiaming has three children. He doesn’t behave like a spoiled little son, unlike the settings in other traditional novels. He is a "little son" who always talks sweet words. Instead, he’s like a big brother,All I care about is to let my mother live a good life.Hearing the teacher’s discussion on raising the mouth and mind, he told his mother firmly and calmly that he must do both things for her.

When the audience saw that her mother was so excited that she collapsed after a cerebral hemorrhage that she obviously became a vegetable, he didn’t give up, just tried to find someone to take care of her all over the world first. By the way,Even in today’s extremely developed modern medical conditions.And which children can wait for a full two years in a vegetative mother who is paralyzed in bed and motionless?

The second aspect is love, that is, devotion to his wife Zheng Juan.

How frustrating Zheng Juan’s past is.That is, how unacceptable it is to people around you, especially in an era like that at that time. To tell the truth, what happened to her was not at that time,Even today, it is difficult for most people to accept it.. First, I met a fraudulent marriage. In the process, I was raped by his good friend and broke a rib. Immediately after the rape, I lost my fruit. After having that person’s child, in the end, she has not yet obtained the certificate. Unmarried girls run with the ball. To put it bluntly, the appearance of Zhou Bingkun will be ridiculed by many people as "the catcher".

However, once Zhou Bingkun is identified, it will not be easily changed. He knows that Zheng Juan is a good girl, and what she has suffered is nothing but a disaster brought by fate.Regardless of Zheng Juan’s past.Treat her children as their own;Look at their present with a normal heartEven if Zheng Juan doesn’t know a few big words, he accepted them all in the past and now.Zheng Juan’s future has the greatest reliance.

What is particularly rare for female audiences is that Zhou Bingkun does what he says.Said to buy a car for Zheng Juan.Although it was a bicycle, it was also the most fashionable permanent brand 28 bicycle at that time.

Coupled with the good acting skills of Lei Jiayin and Yin Tao, they abruptly turned the drama of the Age into a film of pure desire.

The third aspect shows friendship. No matter when, where and where he is, he never forgets his friends’ old feelings.

At that time, the six gentlemen of the "Northeast Guangzi Film",For various reasons, the two people are separated from this group of former friends.. The remaining three people, who were frustrated in middle age, heard that Zhou Bingkun was about to become a full member, and they felt that Zhou Bingkun’s life would be farther and farther away from them. My heart is weak and weary through illness, and what I say is not pleasant to hear. When a person is at the lowest point, it is very likely that his inner dark side will be exposed.

At this time, a Chinese New Year dinner was arranged, and the three brothers just talked about it. Of course, they can’t be in front of Zhou Bingkun, so Zhou Bingkun doesn’t know how his friends view his increasingly smooth life. Just, coincidentally, when Zhou Bingkun walked in the door,But I heard them arguing over some trivial matters at home.. Zhou Bingkun didn’t pretend to brag and draw a pie at that time, but afterwards, he was sure that things could be done.Without saying anything, I helped two friends solve their family difficulties directly.. There is no so-called insincerity,Prove yourself directly with actions.Helping a friend solve the worst problem in front of him is a true friend.

At present, the development of the plot makes Zhou Bingkun’s personnel design perfect, and the audience who follow the drama only hope that he will not suddenly fall off the chain at the back.

Wen | Hong Kong Stock Research Society

On November 23rd, Netease Cloud Music announced the launch of the initial public offering in Hong Kong. The co-sponsors of the listing are Bank of America Securities, CICC and Credit Suisse.

According to the announcement, Netease Cloud Music will publicly issue 16 million common shares worldwide, with the offering price range of HK$ 19-220 per share, and plans to raise HK$ 3.04-3.52 billion (about RMB 2.49-2.89 billion), with an over-allotment right of no more than 15%. It is estimated that the valuation of Netease Cloud Music will be between 39.47 billion and 45.71 billion Hong Kong dollars (about 32.37 billion to 37.48 billion yuan) after listing.

According to the prospectus, Netease Cloud Music introduced Netease, Sony Music Entertainment and Orbis Investment Management Co., Ltd. as cornerstone investors, with a total subscription of 350 million US dollars (about 2.73 billion Hong Kong dollars). According to the plan, Netease Cloud Music will be officially listed on December 2nd with the code "9899.HK".

What is the valuation level of Netease Cloud Music with a stock price of HK$ 190-220?

According to the calculation of the prospectus, assuming that the over-allotment option has not been exercised, the shares raised by Netease Cloud Music in public account for 7.7% of the total issued shares. Based on the calculation of HK$ 19-220 per share, its valuation is between US$ 5.065 billion and US$ 5.87 billion when converted by exchange rate.

Netease Cloud Music reached 184 million monthly users in the first three quarters; The number of online music paying users was 27.52 million, an increase of over 93% year-on-year; The online music payment rate reached 14.9%.

In December 2018, Tencent Music landed on the New York Stock Exchange with a valuation of US$ 21.3 billion. The current market value is about US$ 12.9 billion, and the valuation of Netease Cloud Music is about 40% of Tencent Music. Judging from the number of users and financial situation; The cumulative MAU of Netease cloud music online music service and social entertainment is a quarter to a fifth of TME; And compared with TME, the revenue is about one fifth. However, compared with the market value of TME, the current valuation of Netease Cloud Music is obviously higher than its equivalent value. It shows that the capital market recognizes and values its content community.

This optimism should mainly come from Netease Cloud Music’s unique community route, original music advantages and highly sticky young users; It is optimistic about its long-term development. Recently, Xiaohongshu completed a new round of $500 million financing, with a market value of $20 billion after the investment. Community concept stocks are still promising investment targets in the capital market.

As far as community products are concerned, compared with the market value of bilibili and other content communities, the valuation of Netease Cloud Music is still in the low range. Bilibili’s monthly income in the third quarter of this year was 267 million, and its market value exceeded HK$ 200 billion. In contrast, Netease Cloud Music had a monthly income of 184 million in the first three quarters, and the highest valuation was only HK$ 45.7 billion, which was obviously underestimated.

Recently, Zhihu released its third quarter financial report, with an average monthly active users of 101.2 million and an average monthly paid members of 5.5 million. At present, the market value of Zhihu is about $4.6 billion. Netease Cloud Music’s monthly activity is about 1.8 times that of Zhihu in the same period, but its valuation is similar, which shows that its community valuation has not been fully reflected.

Due to the recent correction of China Stock Exchange, Internet community enterprises are at a low market value. When bilibili was first listed in the US in 2018, its market value was only $3.2 billion, and its share price really broke through more than two years after listing. In the long run, the valuation of Netease Cloud Music is seriously underestimated, and there is still much room for growth in the future.

Is the "first share of the music community" valuable after the copyright is not independent?

According to the prospectus, Netease Cloud Music’s revenue from 2018 to 2020 was 1.1 billion yuan, 2.3 billion yuan and 4.9 billion yuan respectively. In the first three quarters of 2021, the total revenue was 5.1 billion yuan, a year-on-year increase of 52%; Among them, online music revenue increased from 1.85 billion yuan in the same period of 2020 to 2.44 billion yuan, social entertainment and other sectors revenue increased from 1.52 billion yuan in the same period of last year to 2.67 billion yuan, online music service revenue accounted for 47.7%, social entertainment services and other income accounted for 52.3%.

From the cost side, the proportion of Netease Cloud Music content service cost to revenue has gradually decreased, and the gross loss has continued to narrow. At present, the gross profit margin has turned positive. In terms of revenue growth rate, Netease Cloud Music also far exceeds the overall level of the industry, reaching over 100% in 2019 and 2020, and still reaching 60.0% in the first half of 2021, about twice the growth rate of the industry. In the first half of 2021, the adjusted net loss of Netease Cloud Music narrowed to 500 million yuan year-on-year, and the gross profit margin increased significantly and turned positive to 0.4%.

It is worth noting that at present, most of Netease Cloud Music’s losses are caused by changes in the fair value of convertible redeemable preferred shares. After listing, this part of the loss will disappear with the completion of the share conversion (the latest one will expire on October 23, 2023) and will not lead to the outflow of cash flow.

In July this year, the exclusive copyright of music was banned. For the online music market, this means that the industry has returned to a level playing field. Affected by this, Netease Cloud Music has recently reached copyright cooperation with Modern Sky, Hong Kong Emperor Entertainment and China Record Group. Many famous artists, bands and musicians, such as Nicholas Tse, Joey Yung, Twins, New Pants, Tong Yang and Wu Tiao, have returned. According to the analysis of Western Securities, under the premise of gradually eliminating copyright monopoly in the music industry, the core competition of online music platform will focus more on ecological construction and user operation experience, and Netease Cloud Music has advantages in these aspects.

Hong Kong stock policy is favorable and frequent attention is paid to high-growth technology Internet enterprises.

This year, the global capital market continued to fluctuate, and many Internet companies decided to suspend the IPO process. Recently, however, with the stabilization of the market, the HKEx has also released a number of positive signals, including optimizing and broadening the secondary listing mechanism, and including technology Internet stocks such as Netease, JD.COM and Xinao Energy in the Hang Seng Index, so as to attract more enterprises to come to Hong Kong and return to Hong Kong for listing. Netease Cloud Music, as the first Internet company to officially launch IPO, also shows the strong endogenous motivation and development potential of the music community.

Compared with bilibili’s market value of more than 20 billion US dollars, and Xiaohongshu’s valuation of 20 billion US dollars; If Netease Cloud Music operates properly and the fundamentals continue to improve, there should be more room for growth.

After the reform of the listing system of the Stock Exchange in April 2018, attracting more relevant funds and enterprises to IPO in Hong Kong became the focus of work, and more and more Chinese stocks "returned" to Hong Kong for secondary listing. The relevant planning of the Stock Exchange shows that it will continue to develop Hong Kong into a large global and regional enterprise for major listing or secondary listing; andraise fundsTo attract global investors interested in investing in companies in the Asia-Pacific region and mainland investors seeking international investment opportunities.

Recently, Weibo also passed the hearing of Hong Kong stocks. Netease Cloud Music officially launched the IPO, and the recovery of Internet stocks in the Hong Kong stock market may have gradually occurred.

　　Editor’s note:"Good health is the capital of revolution", but in busy life, people are often busy with work and eager to socialize, but they ignore good health. In fact, with a little attention and early prevention, health is around us. People’s Health Network launched the column "Know early and know early" to collect and sort out the health knowledge that you usually ignore, be your health think tank, and carry out health with you to the end!

　　How much does the kidney work every day?

　　Chen Min, chief physician of Department of Nephrology, Peking University First Hospital, and deputy director of Peking University Institute of Nephrology: The human body has two kidneys, which are located on both sides of the spine and are about the size of a fist. The "blood filtration project" needs 1.7 million to 2.4 million nephrons. Nephron consists of renal corpuscle and renal tubule, and renal corpuscle includes glomerulus and renal capsule. During the day and night, human blood has to be sieved by the kidney for 40~50 times to ensure that the waste produced by metabolism is excreted in time, and the workload is very heavy.

　　The kidney filters about 1.2 liters of blood per minute, accounting for about 24% of the cardiac output. When the blood enters the kidney, the glomerulus filters out substances such as water in the plasma; The filtered substances enter the renal capsule to form protourine, but useful components such as protein, amino acids and sugar remain. After the renal tubule "receives" the original urine, it reabsorbs the useful components, and at the same time discharges the hydrogen ions and ammonia ions that are not needed by the human body to form urine. In this process, nephron maintains the balance of water and electrolyte.

　　In addition to these, the kidney also participates in endocrine regulation, which can release a variety of hormones, such as renin, prostaglandin and erythropoietin, which can help regulate blood pressure, promote the metabolism of active vitamin D, maintain normal bone metabolism and regulate the production of red blood cells.

　　Do four things well to prevent renal failure

　　Chen Min, chief physician of Department of Nephrology, Peking University First Hospital, and deputy director of Peking University Institute of Nephrology: The onset of renal diseases is hidden and difficult to detect. If early detection and early intervention can significantly reduce the complications of patients and significantly improve the survival rate. Patients with diabetes and hypertension are the most high-risk groups of renal diseases. In addition to actively controlling blood sugar and blood pressure, such people need to pay attention to renal function regularly and regularly detect urinary protein levels and serum creatinine levels. Even healthy people should do the following to care for delicate kidneys.

　　Don’t overeat. Eating too much food at one time will not only increase the burden on the digestive system in a short time, but also produce too much metabolic waste and increase the burden on the kidneys. Long-term overeating can also induce hypertension, diabetes, etc., which will lead to secondary nephropathy. It is suggested to eat some fresh fruits and vegetables such as apples properly, which is beneficial to kidney health.

　　Avoid repeated dehydration. Repeated dehydration caused by high temperature environment is related to the increased risk of chronic renal damage. During dehydration, the secretion of angiotensin and antidiuretic hormone increases, renal blood vessels contract and urine is concentrated. If you don’t replenish water in time, dehydration will be serious and blood volume will be insufficient, which will lead to kidney hypoxia and blood flow reduction, and eventually lead to kidney damage.

　　Pay attention to the urine situation. The most intuitive manifestation of kidney problems is urine changes, such as obvious deepening of color, obvious foam and sudden increase of nocturia. In these cases, you should seek medical attention in time, especially those who are accompanied by obvious weight gain and edema, and are likely to have kidney disease.

　　Pay attention to regular physical examination. People aged 45 and above have to undergo physical examination every year. Those who have a family history of kidney disease, or have a history of diabetes, hypertension, proteinuria and gout, and often take antibiotics and nephrotoxic Chinese medicines, it is best to check once every six months to be alert to renal failure.

　　Soaking feet at nine o’clock in the evening is the best way to protect the kidney.

　　Jiang Haitao, Deputy Chief Physician, Department of Cardiology, Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine: It is most appropriate to soak your feet in warm water from 9: 00 pm to 11: 00 pm, which can attract our spirit to the lower limbs. Spirit plays a leading role in qi and blood, and qi and blood will descend if you concentrate on it. For some mental workers, it is very useful for the spirit of qi and blood to descend, because after thinking about the problem for a day, the spirit is concentrated on it, and the brain is more excited, so it is more difficult to fall asleep at night. After soaking feet in warm water, the spirit and qi and blood are easier to return, that is, to return to their base camp, and the kidney dominates the storage of essence, so it is the kidney that is replenished after collection.

　　The kidney meridian of human body starts from the first step. After soaking feet in warm water, it plays a warming role and is a benign stimulus to the kidney meridian, which will naturally play a good role in the kidney. Therefore, although no measures have been taken for the kidney, the meridian can also play a role in tonifying the kidney.

　　It should be noted that the water temperature of soaking feet must be moderate, not too hot or too cold. If the water temperature is too hot, it will not help the kidney to collect, but will make people more excited, thus increasing the consumption of kidney essence; If the water is too cold and cold, the meridians will be blocked, and the cold will enter the abdomen along the meridians, and its harm is self-evident.

　　These two conditions can cause acute renal failure.

　　1. excessive exercise. Men Wenjin, Deputy Chief Physician, Department of Nephrology, beijing jishuitan hospital: Excessive exercise may lead to acute renal failure. This is because sudden strenuous exercise is likely to cause muscle injury, which will lead to rhabdomyolysis, and then lead to the increase of myoglobin. Myosin itself will also be decomposed into nephrotoxic components in the body, which will cause further damage to renal tubules and lead to acute renal failure.

　　The common causes of soy sauce color are rhabdomyolysis and urinary system infection. It is normal to cause muscle damage during exercise, but excessive exercise causes rhabdomyolysis, myoglobin in cells enters the blood, and urine will show an abnormal dark brown color. Myoglobin is dissolved too much, which can not be discharged quickly, causing blockage in the kidney, which will lead to acute renal failure.

　　2. High voltage electric shock. Dr. Wang Bo, Emergency Department of Changping District Hospital, Beijing: High-voltage electric injuries often burn large areas of muscles, even involving bones, with large fluid loss, which is more prone to shock than general thermal burns. In addition, a large amount of hemoglobin and myoglobin are released, resulting in severe hemoglobinuria and myoglobinuria, which will lead to acute renal failure. Severe acute renal failure often requires hemodialysis according to the condition.

　　Eight signals indicate that the kidney is ill.

　　Lun Lide, Director of Nephrology Department of Air Force General Hospital: 1. Eyelid or lower limb edema: The kidney will lead to the impairment of water and electrolyte regulation function, causing the increase of water and sodium in the body, and water often accumulates in the loosest tissue or the lowest part of the body, such as eyelids or lower limbs.

　　2. Headache, fatigue, memory loss, poor sleep: Nephropathy is characterized by headache, fatigue, memory loss, poor sleep, etc., mostly caused by hypertension, especially young people who have unexplained blood pressure rise should be alert to kidney diseases.

　　3. Foamed urine: When the protein and urine sugar in urine increase, foamed urine can appear, and there is a fine foam floating on the surface of urine, which is not easy to disappear. You should be alert to proteinuria; If the bubble is large and disappears very quickly, we should be alert to whether the urine sugar rises.

　　4. Changes in urine volume: Normal people’s metabolism is slow after falling asleep, and nocturia is significantly less than that during the day. They should not urinate at night or only pass once, and the nocturia is about 1/4 ~ 1/3 of the total amount in 24 hours. If it is often more than 2 times, nocturia is more than that during the day, which may indicate renal insufficiency.

　　5. Abnormal urine test: If protein or occult blood is positive in routine urine test, it may be asymptomatic proteinuria or asymptomatic hematuria, and urine protein quantification or urine phase microscopy should be done in time.

　　6. Complications with other diseases: Many diseases are prone to kidney damage, such as hypertension, diabetes, gout and polycystic kidney disease. Patients with these diseases should have regular urine tests.

　　7. Anemia: Patients with chronic renal insufficiency above moderate degree often have anemia, fatigue, dizziness, pallor and other symptoms, which is often caused by renal insufficiency leading to decreased secretion of erythropoietin by the kidney. Therefore, in the case of unexplained anemia, besides considering blood system diseases, we should check whether there is kidney disease.

　　8. Loss of appetite: Patients with early uremia often have symptoms such as loss of appetite, nausea and itchy skin. Therefore, patients with these symptoms, especially those with hypertension and anemia, must check their renal function.

　　What needs to be emphasized here is that low back pain is not necessarily kidney disease. Low back pain, which people often say, refers to the pain of the whole back and even the lumbosacral part. There is no sensory nerve distribution in the renal parenchyma, so it is painless, and the pain in the renal area that patients feel is mostly caused by the involvement of renal capsule, ureter and renal pelvis. Some patients with nephritis and nephrotic syndrome only have slight discomfort in the waist and feel sore, and rarely have obvious low back pain. (People’s Health Network is integrated from Life Times and Health Times)

　　China is the hometown of tea. Chinese has discovered and used tea for thousands of years, and many people like drinking tea very much. However, there is news on the Internet recently that drinking tea is bad for the heart and may even lead to heart disease. Is it true?/You don’t say.

　　In fact, drinking tea is not bad for the heart, and it may even be beneficial &mdash; &mdash; This should start with the special ingredients in tea. Tea is usually rich in flavonoid antioxidants, such as tea polyphenols and catechins, which give tea an attractive fragrance. In addition, tea also contains a lot of caffeine. In the process of making tea, some of these substances will dissolve into the tea. Therefore, tea is actually a drink containing a variety of plant antioxidants and caffeine.

　　Tea is rich in antioxidant substances such as tea polyphenols, which can scavenge human free radicals and have certain benefits to health. Judging from a large number of current studies, drinking tea is good for the heart and cardiovascular system &mdash; &mdash; It may significantly reduce the risk of heart disease and stroke by reducing low-density lipoprotein cholesterol ("bad cholesterol").

　　A study in Journal of American Heart Association took six years to analyze the relationship between the change of high density lipoprotein cholesterol (HDL-C) level in the blood of more than 80,000 Chinese and drinking tea. The results show that the HDL-C level of people who insist on drinking tea for a long time decreases more slowly, and the risk of cardiovascular diseases decreases by 8%, which is beneficial to cardiovascular health.

　　China’s "Food and Health-Scientific Evidence and Consensus" summarizes and analyzes the research on tea and health, and thinks that drinking tea can reduce the risk of diabetes, stroke and cardiovascular diseases. Therefore, it can be considered that drinking tea is not only harmless to the heart, but also beneficial.

　　However, because tea contains caffeine, some people drink too much tea, which will lead to discomfort such as palpitations, so some people worry that drinking tea is not good for the heart. In fact, this is a normal phenomenon, which is called "tea drunk" by the people. As long as you drink it in moderation, there will be no problem.

　　At present, the international research on caffeine is relatively sufficient, and authoritative health institutions believe that moderate drinking of coffee and caffeine will not cause damage to the heart. For example, the American Heart Association, the European Heart Association, the Australian National Institute of Health and Medical Research and other institutions believe that healthy adults drinking coffee in moderation (1 to 2 cups a day, about 200 milligrams of caffeine) will not increase the risk of heart disease and cardiovascular disease.

　　Compared with coffee, there is much less caffeine in tea. The caffeine content in a cup of tea is usually only 40 to 80 mg, which is less than half that of an equivalent cup of coffee. Therefore, it is no problem to drink 3 to 4 cups of light tea, such as white tea and green tea every day; For some strong tea, such as black tea, the caffeine content will be more, but drinking 2 cups will not be a problem. Of course, if your heart and head are really uncomfortable after drinking tea, try not to drink or drink less.

　　According to the data of China Cardiovascular Disease Report 2017, the number of cardiovascular patients in China has reached 290 million, and cardiovascular deaths account for 40% of the deaths of residents, which is higher than tumors and other diseases, ranking first; Moreover, the morbidity and mortality are still on the rise. From the current research, maybe drinking some tea every day can also reduce the risk of cardiovascular disease, which is beneficial to the body.

　　It is worth noting that many people may drink tea in the wrong way. How can drinking tea be beneficial to health?

　　First, don’t drink too much tea or drink too much tea. Drinking a lot of tea, in addition to too much and too strong caffeine intake, tannic acid in tea may also affect the absorption of iron, which is not good for health &mdash; &mdash; It is recommended not to drink more than 4 cups of tea every day. Second, drinking tea every day is best arranged in the afternoon, not too late, so as not to affect sleep. What needs special reminder is that you should try to stay away from sugary tea drinks. At present, there is no evidence that sugary tea drinks also have cardiovascular protection. Therefore, tea drinks should not be used instead of drinking tea, let alone deliberately drinking tea drinks to protect cardiovascular health.

　　(The author is Ruan Guangfeng, Director of Science and Technology Department of Food Nutrition and Information Exchange Center)